Monmouth County Woman - 2015 May/June by The County Woman

Monmouth

Ce leb ra

r ea Y ting Our 7th

An Educational Resource for Women and Their Families

FREE ~ Please Take One QUIT SMOKING, LIVE LONGER PART II. SMOKING CESSATION.

Though everyone knows that smoking is injurious to health, few are able to quit successfully due to the strong addictive potential of nicotine. Join us to celebrate National Cancer Survivor’s Day.

Pages 38 & 39

UTILIZE YOUR LIVING SPACE.

Enjoy the outdoor comfort provided by Giglio Awning retractable screen and shade products. Save $200 on motorized screens, awnings, and much more.

There are several things you and your doctor or nurse can do to make sure your pregnancy is as healthy as possible.

Page 24

Dr. Chickara and his outstanding staff of professionals at Rehability practice an integrated treatment approach to get you back on track. Read more on pages 2, 3 & 16.

I’M READY TO HAVE A BABY…NOW WHAT? PART 1.

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Photo By Annette Jenkins Photography

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May/June

2015

Please Take One

Featured On The Cover

~ Interview With Robert Chickara, DC ~ REHABILITY’S Integrated Treatment Approach To Wellness Will Get You Back On Track CHIROPRACTIC PHYSICAL THERAPY ACUPUNCTURE 83 South St. Suite 204 | Freehold, NJ (Freehold Commons)

732-780-6230 www.REHABILITYnj.com

s the chiropractor and clinic director at REHABILITY, Dr. Chickara believes in an integrated approach to wellness. “We are a multi-specialty rehab clinic that combines chiropractic care, physical therapy and acupuncture services,” he says. With a strong focus on manual “hands-on” treatment, their specialists work together to develop customized treatment plans for each of their patients. Whether you suffer from back pain, muscle spasms, painful joints, neuropathy, or stenosis they will get you “back” on track. He adds, “Our specialists understand the significance of providing a relaxed, comfortable environment during the healing process. The atmosphere at our facility is highly conducive to healing.” Dr. Chickara believes strongly in the patient physician relationship and enjoys the rapport he establishes with each of his patients.

MCW: What is your practice philosophy?

Dr. Chickara: In being a multi-specialty center we work directly with you to create a customized treatment plan based on your condition and individual needs. Since every patient’s life is impacted differently by the status of their health, our team of specialists are committed to helping you get the relief you deserve and the mobility and strength needed to resume and maintain an active lifestyle.

MCW: How is your practice unique?

Dr. Chickara: In recently expanding our facility, one element that remains unchanged is the relaxed atmosphere we enjoy practicing in. Ours patients feel as if they are in their own home. We place great emphasis on the day-to-day interaction and communication with our patients, offering each and every one personalized attention throughout the course of treatment. Our focus is always patient-centered, and the relationships we develop with them often results in the best compliment we can receive, the referral of family and friends. In addition to diversified chiropractic adjusting techniques, we specialize in providing spinal traction and decompression therapies, often with great success. By effectively targeting the root cause of the symptoms such conditions trigger; patients frequently recover faster and with longer lasting relief.

MCW: What are the most common conditions you have seen over the last five years?

Dr. Chickara: Whether it’s the weekend warrior, athlete, or active retiree, we treat a variety of orthopedic, neurological and degenerative conditions both spine and extremity related. However, those suffering with low back pain still make up the largest percentage of patients we see each year.

MCW: How has chiropractic care changed over the last decade?

Robert Chickara, DC Testimonial

I was about to give up thinking there was no hope for me. Then I read about Dr. Robert Chickara’s “Rehability” center. My husband dialed the number. It was the best phone call we ever made. They have helped me so much. The care that is given is remarkable. The difference in my mobility since I started going there is incredible. If there is help for people with pain and immobility, you can be sure you will get it from them. They go above and beyond. As for the staff, they couldn’t be nicer. They are so professional and accommodating. I highly recommend Rehability to anyone who is experiencing any level of pain. Gratefully, Susan T., Manalapan

Dr. Chickara: I have received an increasing number of patient referrals from medical and osteopathic physicians. This is due in large part to the positive experiences and favorable outcomes our patients experience. Many continue to out seek chiropractic care, whether for injury or wellness and this is shared and observed by their other physicians. It has been a pleasure to develop several professional relationships with local physicians who share the same patient-centered vision.

MCW: What is the most rewarding part about your profession?

Dr. Chickara: It is a pleasure to witness our patients feeling better with treatment. As a chiropractor, I’m simply a facilitator in assisting the body’s own natural healing capability. That said, chiropractic is more of a corrective care than an emergency care so when patients are committed to improving their health, they often achieve favorable results.

MCW: What is the most challenging part about your specialty?

Dr. Chickara: Limitation of insurance benefits can be challenging at times, as it can directly affect patient care. While I understand there are insurance policies in place relative to clinical care, when someone other than the treating specialist dictates medical necessity, it can be a disservice to the patient. When Dr. Chickara is not improving the quality of life of his patients, he enjoys travelling and spending time with his wife Irene and their beagle, Gunner. However, their lives are about to change quite drastically as they are thrilled to be expecting their first child later this year.

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Featured On The Cover

Acupuncturist Ellen Policastri Gets Patients on the Road to Recovery

ust like Dr. Chickara, acupuncturist Ellen Policastri believes in an integrated approach to healing. She adds, “I listen fully to each of my patient’s complaints and take into consideration their full medical history. This allows me to develop a plan of treatment tailored specifically to them.” Ellen spends time educating them on the myriad of benefits of acupuncture therapy, which include increased energy, better mobility, and a reduction of symptoms of their chronic pain. Many times she will combine her treatment plan with a physical therapy regime to better suit the patient’s needs. She has found that a good percentage of her autoimmune disorder patients and those receiving treatment for cancer find that their hard to manage symptoms are eased by adding acupuncture to their care plan. Ellen has also had success in treating symptoms associated with multiple sclerosis, fibromyalgia, rheumatoid arthritis and Crohn’s disease.

Ellen Policastri, LAc

MCW: What are some of the most common conditions you treat with Acupuncture?

EP: Acupuncture is an effective treatment option for a wide variety of medical conditions and is effective at treating pain syndromes, specifically. I treat chronic neck and low back pain, sciatica, osteoarthritis of the knee, rotator cuff injuries, pinched nerve pain, acute muscle strains, muscle tension and other pain disorders. I also help patients that suffer with health conditions like allergies, asthma, diabetic neuropathy pain, digestive disturbances, hypertension, insomnia, anxiety and depression.

MCW: Can many of the conditions you treat with acupuncture also benefit from chiropractic care and physical therapy? EP: Yes. We all share a similar approach to healthcare; working to promote the amazing self-healing capability of the body. Our combined, natural approach allows patients to gain long lasting results, as well as an improvement in their overall health and quality of life.

MCW: What are some of the health benefits one may experience after an acupuncture treatment?

EP: Acupuncture is part of a system of medicine known as Traditional Chinese Medicine. This is a complete system of healthcare that looks at the big picture of the body as a whole and aims to treat the entire body to bring about balance, healing, and homeostasis. This is why so many conditions are treatable with acupuncture. Not only do patients get relief from their initial complaint, but after a few sessions they notice they are sleeping better, have more flexibility, and notice an overall improvement in energy and emotional balance.

Pictured L-R: Erika Petillo, PTA, Ellen Policastri, LAc, Robert Chickara, DC, Karen Kondos, PT, DPT, Jessie Ganon, PT

The Right Touch: The Physical Therapists at REHABILITY Help Patients Find Relief

essie Ganon, PT, Karen Kondos, PT, DPT, and Erika Petillo, PTA make up the Physical Therapy team at REHABILITY. Each specializes in manual-hands on techniques that are critical to the recovery process. Physical Therapy (PT) is a rehabilitative health care specialty focused on decreasing musculo-skeletal pain while restoring mobility, function and overall quality of life. The therapists incorporate several treatment strategies customized to each individual patient, from manual therapies to therapeutic and neuro-muscular exercises. Some of the treatments they offer include cold laser therapy, electro-thermo compression therapy, and therapeutic muscle-taping (kinesiotaping) to reduce spasms and minimize symptoms due to affected muscles. The therapists are trained to diagnose and treat a wide-range of physical injuries and impairments from trauma and orthopedics, to geriatrics and post-surgical conditions. Additionally, they help patients restore and maintain maximum movement and functional ability through case-specific stretches and exercises. The goal is teaching them how best to manage their condition with activities they can do at home. Whether you are suffering from a recent injury or a chronic condition, physical therapy goals are geared toward relieving pain and getting your quality of life back. The County Woman recently sat down with the therapists to discuss their unique and effective approach to healing.

Erika Petillo, PTA

MCW: What do enjoy most about working with Dr. Chickara?

PT: He provides us with a team-oriented environment and shares autonomy of practice relative to our physical therapy profession. We enjoy working with a great staff, always laughing and having meaningful conversations with our patients.

Jessie Ganon, PT

MCW: What are the most common conditions you see in your profession?

PT: We treat a lot of low back and neck pain, joint and muscle sprains and strains, osteoarthritis, rotator cuff syndromes; and total knee/hip replacements pre and post-surgically.

MCW: What are the most popular PT exercises you frequently recommend?

PT: It really depends on the injury and diagnosis. For example, with many low back conditions we often apply therapeutic stretching for hamstrings, double knee to chest and bilateral lower trunk rotation, both using an exercise ball.

MCW: What challenges do patients face when beginning a PT regime?

PT: Generally, it’s time constraints relative to their work schedule. Since most patients need 2-3 treatments per week it can be difficult for them to schedule. However, patient compliance with the suggested treatment is significant for the best results. We are patient-centered and focused on assisting them to return to a pain-free lifestyle.

The County Woman Magazine www.TheCountyWoman.com

Karen Kondos, PT, DPT May/June 2015

Publisher’s Note

4 Monmouth Monmouth County County Woman Woman Since Since2008 2008

Publisher........................................................ Lynn K. Wolf lynn@acwoman.com • 609-929-4189 Art & Production Executive.......................Meghan Morse staff@thecountywoman.com • 856-885-8066 Public Relations Executive ...................... Lauren Shover staff@thecountywoman.com • 856-885-8066 Feature Cover Writer..........................Gena Ansell-Lande Graphic Designer, Real Grafix Design.......... Cathy Tveici Graphic Designer, Golden Design, LLC...... Laura Golden golden.design@verizon.net Graphic Designer, Designer Photos........... Paula Brewer designerphotos@rocketmail.com Website Designer.............................................P.J. Santos www.digitalartstation.com Distribution Manager..................................... Mike Dziuba For advertising inquiries, please call:

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Welcome to the May/June 2015 Issue Of Monmouth County Woman! “Snow Expected in Northeast as Spring Arrives” was the headline on March 20th. It seemed like winter would never end! But for us, spring finally arrived on April 3rd when our Canadian Goose couple started building their nest in the patch of long grass by the parking lot mailboxes. For the next 24 to 28 days, we will not venture near the mailboxes or trash cans in order to avoid having the father goose run towards us with wings fully spread, loudly squawking as he tries to keep his mate and future gosling safe. We’re hoping, however, that if we carefully avoid making eye contact with “Dad,” we can get close enough this year to actually witness the baby gosling hatching and leaving the nest under the watchful eyes of its mother and father. This family drama will be playing out during the same season we honor the mothers and fathers in our own lives. First up is Mother’s Day on May 10th, a time to recognize how special Mom is and to make sure she feels loved and appreciated. Please read the tributes to mothers on pages 65 & 66, submitted by the readers of Atlantic County Woman, Ocean County Woman and Monmouth County Woman publications. Then on June 21st, we observe Father’s Day, celebrating the contribution that fathers and father figures make towards their children’s lives on page 67. In between those two celebrations is Memorial Day on May 25th, a day when we honor all those men and women who have died in service to their country. Many towns will pay tribute to the fallen with parades and wreath-laying ceremonies. Memorial Day is also the unofficial beginning of summer in New Jersey, as the beach communities come alive with activities. We are grateful to all the men and women who died in our country’s service. We honor all the parents, and those who serve as parents in a child’s life, for the work, love and commitment required to raise a healthy child. On a personal note, I am grateful to all our loyal readers, Facebook fans and Twitter followers for your support of our publications, Atlantic County Woman, Ocean County Woman and Monmouth Country Woman. Last but not least, I want to thank the contributing writers and our extended staff for bringing us valuable articles about health and wellness, legal and medical topics, retail and travel, and much more. The May/June Issue is packed with information you won’t want to miss! As we look forward to warmer weather, we hope that all along the Jersey Shore enjoy their plans for the summer ahead. Best,

Lynn K. Wolf, Publisher and the Staff at The Monmouth County Woman

Featured on the Cover The Staff at Rehability Pain and Injury Center

The County County Woman Woman The P.O.Box Box619 619 P.O. Turnersville, NJ 08012 Turnersville, NJ 08012

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Pictured L-R: Erika Petillo, PTA, Ellen Policastri, LAc, Robert Chickara, DC, Karen Kondos, PT, Jessie Ganon, PT. Patients find new hope with FDA approved treatment for Peripheral Neuropathy & Pain Syndrome at Rehability of Freehold. Read more about this treatment and the doctor and his staff on pages 2, 3, & 16. Cover photo by Annette Jenkins Photography.

Schedule your beach portraits, family portraits, weddings and event sessions with Annette Jenkins Photography, see page 75.

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May/June 2015

Featured on the Cover Rehability Pain and Injury Center...................................2, 3, 16

Hospice Care Gentiva Hospice.......................................................................5

Nutrition & Wellness Balanced Life Weight Loss Institute ....................................... 6

Medical Professionals Atlantic Neurosurgical Specialists............................. 29, 30, 31 Kessler Rehabilitation Center.................................................. 7 Brick Women’s Physicians.....................................................15 Allen Morgan Fertility and Reproductive Medicine.................17 Personal Enhancement Center..............................................19 Liberty Pain Center.................................................................20 University Urology Associates of New Jersey........................21 Shore Gastroenterology Associates, PC................................25 Vein Center for Women..........................................................26 Paonessa Colon and Rectal Surgery, PC..............................28 Toms River X-Ray, CT, & MRI Center....................................33 Seaview Orthopaedics & Medical Associates..................35, 72 Ocean Hematology & Oncology.............................................38 Caring Heart & Brain Imaging.................................................42

Salon & Spa Hair and Company Oasis Spa................................................. 8

Law Law Offices of Laura M. D’Orsi, LLC........................................9 Straffi & Straffi, Attorneys at Law..............................................9 Ansell, Grimm & Aaron, PC................................................... 13 Kathleen M. Dotoli, Esq..........................................................47 The Matus Law Group......................................................48, 49

Health & Wellness Ocean Health & Weight Loss.................................................10 Hypnosis for Women............................................................. 43 Jersey Shore Pharmacy.........................................................46

Featured Articles

Pediatric Dentistry

Tender Smiles 4 Kids............................................................ 11

Pediatric Therapy Tender Touch Occupational Therapy.................................... 12 Speech Start.......................................................................... 12

Adult Day Care We Care Adult Care, Inc.........................................................13

Orthodontics Holmdel Orthodontics............................................................ 14

Fashion & Beauty Lynne’s Fashion Boutique, Inc...............................................18

Cosmetic Dentistry Amara Dental................................................................... 22, 23

Awning Giglio Awning..........................................................................24

Financial Management Janney Montgomery Scott......................................................27

Alzheimer’s Care Community Brandywine Senior Living.......................................................32

Wicker & Rattan The Wickery........................................................................... 34

Garden & Local Honey From the Garden, Inc...................................................... 36, 37

Specialty Cakes & Chocolate Novelties

5 Business & Finance Copiers Plus, Inc..............................................................54, 55

Travel Vagabond Travel....................................................................56

Massage School NJ School of Massage........................................................... 57 SCAN.......................................................................58, 59

Ballroom Dancing Daniel’s Ballroom....................................................................60

Fine Jewelry The Jewelry Link.....................................................................61

Business & Finance Pearls of Wisdom Media, LLC................................................65

Mother’s Day Tribute Happy Mother’s Day.........................................................65, 66

Father’s Day Tribute Happy Father’s Day................................................................67

Theatre & Entertainment It Shoulda Been You...............................................................72 Gazillion Bubble Show............................................................73

Fine Art Photography Annette Jenkins Photography, LLC........................................75 Community..........................8, 14, 22, 34, 39, 50, 53, 62, ...........................................................63, 64, 68, 69, 70, 71, 74

Chocolate Carousel..........................................................40, 41

Wigs & Hair Replacement Abstrax Hair Designs....................................................... 44, 45

Art Gallery The Oasis Gallery...................................................................50 Women of Monmouth County. ........................51, 52

Book Corner Angels Share the Power of “I Love Me”..................................53

✤ Please Take Advantage Of Our Many “Enter To Win” Contests Throughout The Paper And On Facebook! ✤

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Hospice Care

Case Study – Congestive Heart Failure

ow can hospice help patients and their families? Let’s take a look…

Bill is a 79 year old male with 3 hospitalizations in the past 4 months for Congestive Heart Failure. He reports to his physician, Dr. Jones, that “going back and forth to the hospital is just too much”. After arriving at his appointment with great difficulty, he wants another plan due to the challenges of calling 911, emergency room wait times, and too much time in hospitals with physicians not familiar with his medical history. Dr. Jones has a great rapport with Bill and wants to maintain that relationship. Bill has an ejection fracture of 15%, is wheelchair bound when out of the house, and has intermittent chest pain with exertion, so Dr. Jones suggests a free clinical evaluation by hospice to see if Bill’s goals of care match up with the hospice care plan. Upon choosing hospice, Bill experiences: • 0 rehospitalizations over 4 months • Medications related to cardiac and symptom management are covered 100%

and delivered to his home • 6 evening and weekend home nursing visits due to on-call team triaging his symptom changes and falls • Advanced directives have been put in place two weeks following admission • Oxygen is now in his home for symptom management • Depression and anxiety have been proactively treated by his social worker • Continued communication with Dr. Jones to talk about his quality of life since he is avoiding rehospitalizations.

Growing up and residing in Colts Neck, New Jersey most of her life, Cathleen Fitzpatrick is the new Manager of Clinical Practice at Gentiva Hospice. She was raised in Colts Neck, NJ, graduated from Seton Hall University, NJ and has a certification in Critical Care. She has held many positions over the years dealing with end of life care with a focus on palliative and hospice care. She is excited to join the Gentiva staff and will be servicing the Monmouth County area.

Should you know someone who reminds you of Bill,

please call Gentiva Hospice at (732) 562-8800. There is no fee for the evaluation and hospice care is covered 100% by Medicare. If during the evaluation the patient is eligible and chooses hospice care, admission to the program can begin within 3 hours of a physician’s referral.

“We have experienced the best care for my wife. All the staff communicates with me regarding the care of my wife. I am a hospice believer – love it and made my life so much easier. Taken a very difficult part of our life and made it bearable” ~ Bert Abbazia “The Gentiva staff was a true blessing for my mother and my family. The staff is very compassionate and truly makes you feel like part of their family. They put your heart at ease during a very difficult time.” ~ Dawn Romano

Cathleen Fitzpatrick, RN, BSN, CCRN

The County Woman Magazine www.TheCountyWoman.com

phone (732)

562-8800

We can be reached 24 / 7 / 365 fax (732)

562-8686 www.gentiva.com May/June 2015

Nutrition

Wellness

Time and Balance (How to lose weight, keep it off, and still enjoy life!)

ost people have the impression that in order to get into the shape they want to be in, they will have to resign themselves to a life of drudgery… not eating what other people can eat, not enjoying going out, and forcing themselves to endure Joy Allison grueling and/or boring exercise. If only those people Director of Operations knew the truth about getting and staying in shape! There Lead Nutritionist are only two words to remember, only two words that Trainer you need to wrap your mind around in this quest, this Balanced Life Weight Loss Institute equation; to make it a reality in your life. Those two words are: TIME and BALANCE. Joy has over 25 years of experience as Time and balance… If you are a helping professional, with a passion willing to take the time and apply the for inspiring others to achieve their balance you need 85% of the time health and weight loss goals. She holds (not even 100%, just 85%!), you can certifications in nutrition and weight lose the weight you need to and still management, as well as Personal enjoy the things in life that make it Training, Stott Pilates, and Sivananda Yoga. Joy writes a bi-monthly column worth living. for The Asbury Park Press on Tuesdays The first hurdle for people to about fitness and nutrition. overcome is the idea of time. Losing weight and keeping it off is an exercise in the acceptance of time. It is a process and a lifestyle shift that must be NOW OPE N! approached with patience and a “one day at a time” philosophy. If you can see yourself embarking on a journey, the first AFTER step of which begins today and leads to all the next steps, then you can truly get Complete and comprehensive weight loss program that offers Now Open! the best in nutritional education, private fitness training, there. And as with every journey, there te and comprehensive weight loss program that and behavior modification. est in nutritional education, private fitness training, are hills and valleys. Understand that and behavior modification. Mention this ad for a special introductory rate on any of our weight loss programs. Join with a friend 2 for 1 OR free Nutribullet both are a necessary part, and then you

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are on your way to the lasting change you’re looking for! The second hurdle is balance. Most people have heard of this idea but oftentimes do not understand exactly what it means or how to apply it. As mentioned earlier, I advise applying balance 85% of the time in what you eat. Perfection, as they say, is the enemy of the good. Balance 85% of the meals you eat, and balance them 85% of the time. Apply this formula at each meal, each day, each week, each month and each year. Exercise 85% of the time; do this each week, each month and each year, and you’ll find that maintaining these changes will feel much more natural and comfortable. The other 15% is yours to do as you like. You will find after time that the 15% becomes less important, and less and less like the “old you.” Now, please remember, no matter how much your current routines may not be serving you, and no matter how much you may desire to change them, beginning the process can feel like pushing a boulder up a hill. The best way to begin is with a coach and/or support system that will help keep you pointed in the right direction and get behind that boulder with you. A body in motion tends to stay in motion, and having the right help can make all the difference. So for those out there, who feel like they’ve tried a million times to lose weight and have not succeeded in getting or keeping it off, don’t give up! There is a way; it is a simple formula that works when applied consistently. Time and balance, that’s all you need.

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Community

Stafford Communications Group Executive Wins Enterprising Women Of The Year Award CJ Stafford, president of Stafford Communications Group, Incorporated and Highlands resident, has been named a winner of the 2015 Enterprising Women of the Year Awards by Enterprising Women magazine. The award honors top women entrepreneurs from North America and around the globe for their commitment CJ Stafford, President to their workforce and local community. The annual Enterprising Women of the

Year Awards is in its 13th year and widely considered one of the most prestigious recognition programs for women business owners. Honorees are recognized for their fast-growth businesses, mentorship and active support of women in entrepreneurship, and community leadership. “It is indeed a personal honor to be recognized by Enterprising Women and receive the Enterprising Women of the Year Award,” said Stafford. “It’s also a source of

The County Woman Magazine www.TheCountyWoman.com

great pride to our firm. It is a true testament to the business benefit and undeniable value our professionals deliver to our clients every day.” Stafford Communications Group has been serving clients across the country for more than 20 years and offers a wide variety of services including customer care, consulting, and marketing. For more information about Stafford Communications, visit www.staffcom.com.

May/June 2015

Medical Professionals

Physical Therapy:

Taking the Pain Out of Spring Cleaning

With spring comes warmer temperatures, longer days … and the desire to clean out all those musty closets and cobwebs from around the house. But spring cleaning can take a toll on your muscles and bones, often resulting in strains, sprains and pains. Many of these injuries may be avoided by following a simple rule: never twist, rotate or overextend your back, neck and shoulders.

To help stay injury-free and pain-free while doing spring cleaning, Kessler Rehabilitation Center offers these tips: Vacuuming: The twisting and turning movements

most people use when vacuuming put increased compression on the spine and neck. To avoid problems, vacuum with the machine or hose close to the front center part of your body and at waist height. Using both hands on the handle, push the vacuum in front of you while walking in a long line and then pull back using the same motion. Never push and pull back and forth with short strokes.

Mopping Floors: Mop your floors whenever

possible, rather than getting on your knees to scrub. Start with small areas, pushing the mop forward and then backward without leaning. Then step to the next section of floor without rotating or bending your spine. The key is to keep the mop in front of you while keeping your back straight. If scrubbing is necessary, place a pad or towels under your knees and avoid reaching too far in any direction.

Washing Windows: Keep your feet on the ground or, if necessary, use a level, sturdy ladder or step stool. Try to keep your back straight and your body level with the area that you are cleaning to avoid stretching. Your head should be in a straightforward position, not tilted back or upward for a long period of time. Never climb on furniture or windowsills to clean any windows.

Scrubbing the tub: Avoid kneeling, bending and

stretching over the tub. Instead, stand outside the tub with your spine in a straight position and use a mop to clean tile walls, the shower and the tub. If you need to really scrub, climb inside and bend at the knees, not at the waist. Work in short intervals and take frequent breaks to avoid strain of scrubbing for long periods of time.

Painting: Some people prefer working with a paint

sprayer, but if you prefer a brush or roller, keep it in front of you and waist-high so that your spine is straight. Looking up at high walls or ceilings for extended periods of time can put extra pressure on nerves and cause pinching and numbness. Be sure to paint in short intervals and taking frequent breaks.

Coast the Coast

Saturday, May 16th in Belmar Visit the Kessler Triage Tent at Rest Stop #1 located at Ocean & 1st Ave at the “Belmar Triangle” between 8:30 AM & 2:00 PM, as we support Team Kessler and the 1600 cyclists in the fight against Multiple Sclerosis

While it’s likely you may still experience a few achy muscles from time-to-time, following these simple tips can help to make spring cleaning safer – and easier on your body.

Physical Therapists Can Help with Conditioning Whether you are doing some spring cleaning, yard work or gardening, or pursuing sports or other leisure activities, you are at risk for muscle strains, aches, pains, and even serious injury. Proper conditioning and body mechanics can help prevent these problems. The Physical Therapists at Kessler Rehabilitation Center have the expertise and understanding to help you build, restore or maintain motion and mobility and reduce pain. To learn more, stop by one our 19 conveniently located centers in Monmouth and Ocean County!

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May 15

Toms River Library Benefits of Physical Therapy & Ergonomics in the Workplace May 27 Asbury Park Senior Center Importance of Exercise as we Age & Proper Posture & Body Alignment June 10 Neptune Senior Center Healthy Heart June 20 Manalapan Day - Recreation Ctr July 11 Freehold Day Michael J Tighe Park July 15 Neptune Senior Center Vertigo & Balance

OCEAN TWP • TINTON FALLS • SO. AMBOY • OLD BRIDGE • BRICK • JACKSON • TOMS RIVER

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Salon

Spa

Get Your Perfect Summer Look At Hair And Company! by Tiffany Colelli Repêchage® Written European Facials: $60 at Hair & Co.

any people argue that doing your own hair at home

Hair & Co. Oasis Spa is proud to introduce Repêchage® European Facials for just $60! can save you time and money. But the truth is just the They are perfect for normal and sensitive skin, dry and dehydrated skin, and even combination or acneic skin! This facial cleanses, tones and moisturizes skin deep down with the ancient botanical, opposite. St. John’s Wort, known for its gentle soothing properties. Green & White Teas provide anti-oxidant protection and hydration to the skin. Find out more: www.hairandcompanyredbank.com Doing your hair at home can actually consume more of your time, and in the long run be more expensive, not to mention more damaging to your hair. JoAnn Wiener Professional hair color involves a variety of steps, depending on the desired look. Owner The most important step is the consultation between you and your stylist. Cosmetologist and former owner Bonnie’ssuch Place, Fair Haven, NJ.fragile areas of the During this conversation, factors areofdiscussed as density of hair, hair percentage white a more creative Whilethat I am need new toattention, Hair & Company Oasis Spa,of I bring overor25ifyears experience in theapproach art of a will be taken for your and desired look. Also specialinconsideration inpore understanding needed as to the pampering relaxing facial. I specialize the European deep cleaning facials,iswhich improve type of color to be used based on the client’s hair needs. A drugstore brand of the look, feel and texture of the skin. Due to the daily stresses that life throws us, taking time out forhair a color is one usually of highthe levels ammonia can beproducts, damaging facial willformula truly enhance your consisting complexion. Through use ofofthe wonderful that Repêchage® the to your hair if continuous applications are done. At Hair and Company, we take art of facial massage, exfoliation and luscious moisturizing, your complexion will reveal a new glowing pride in our Give knowledge of hair colorYouand innovative radiance. your skin a second chance. will be happy you did!techniques for your desired look! Tiffany Colelli

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Community

Western Monmouth County Newcomers Club - “There are no strangers here, only friends we’ve never met!” The Western Monmouth County Newcomers Club is a women’s social group that has been in existence since 1969. Most members reside in Western Monmouth County, NJ, however, members in good standing may sponsor anyone new to the club living outside of Western Monmouth County boundaries. All women are welcome, whether new to the area or longtime residents. This club offers a wide range of social activities; some during the day and some in the evenings. Our activities range from Book Discussions, Mahjongg, Supper Club to Ladies’ Night Out. We also participate in charitable activities. Each year we raise money to support a local charity. This year we’ll be supporting “Jar of Hope,” which is based in Manalapan, NJ. Jar of Hope is dedicated to bringing awareness to and raising funds for finding a cure for Duchenne Mascular Dystrophy. Annual End of the Year Banquet to benefit Jar of Hope • Wednesday, June 10th, 2015 Our House Restaurant in Farmingdale, NJ • For more information visit www.monmouthnewcomers.org or call our Membership Chairperson, Marian Lober at 732-580-0468 or our President, Janet Warbet 732-367-7511.

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Law

What is Collaborative Divorce?

Presented by: Law Offices of Laura M. D’Orsi, L.L.C.

ollaborative divorce is the newest method of resolving divorce related issues. In a collaborative divorce the attorneys for both sides agree to assist the clients to resolve conflicts by employing cooperative techniques rather than adversarial strategies and litigation. All of the people involved commit themselves to achieving a negotiated outcome. It is agreed that no litigation will be commenced during the negotiations.

The most important element of collaborative divorce is that the lawyers commit to manage the conflict, emotional issues and relationship issues creatively. The parties and their lawyers engage in four-way meetings. These meetings allow the parties to explore their issues on their own timeline. The goal is to reach an agreement and then proceed with the divorce through the courts. Additionally, experts such as coaches and financial professionals are utilized to assist in resolving issues. Why Collaborative Divorce?

Why would you pursue collaborative divorce?

Collaborative divorce is effective where each side in the divorce is able to reach a fair solution and resolve differences. Collaborative divorce addresses more than just the legal issues. It looks at the impact of divorce on the parties and the children. When a case is litigated in Court, the parties make allegations about each other and

are hostile. This inadvertently impacts the children, who see their parents displaying hostility and hatred toward each other. Even though your marriage is ending, in collaborative divorce, you are working together to achieve a resolution that works best for you both. You and your spouse control the process, rather than reacting to deadlines set by a Court. Collaborative divorce is the route to take if you want to maintain a good relationship with your ex-spouse and lessen the impact of the transition on your children. However, collaborative divorce is not for everyone or every situation. It requires that those involved be committed to working with and not against the other party in order to achieve results. In Collaborative divorce you will not get your “pound of flesh” but you might reach an agreement that will keep you and your spouse involved in your children’s lives and maintain an amicable relationship with one another.

LAW OFFICES OF LAURA M. D’ORSI, L.L.C.

Collaborative divorce and its participants are committed to creating a process that is safe and that does not cause further harm to the participants and the families involved. The atmosphere of collaborative divorce is respectful and much less stressful than traditional litigation. Collaborative divorce provides the parties with an agreement that is designed by the parties, with the assistance of their collaborative divorce lawyers. Who is a good candidate for collaborative divorce? • Do you still care enough about your spouse and your children to want to reach an amicable agreement rather than have your dirty laundry aired in Court? • Do you want confidentiality with your divorce or do you want Court papers filed as public documents, which slander you and your spouse?

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Divorce: Mediation, Litigation, and Collaborative Divorce Post-Judgment Divorce: Enforcement of Divorce Judgments, Child Support and Alimony Modifications, Out of State Relocations with Children Post-Judgment Division of Retirement Assets General Family Law: Child Custody/Parenting Time Issues, DYFS Matters

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If you are interested in pursuing a Collaborative Divorce, Laura D’Orsi, Esq. can assist you.

If you have legal concerns, Contact the Law Offices of Laura M. D’Orsi, L.L.C.,

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Those persons involved in collaborative divorce should be able to take the long-term view and be thinking of the future and the maintenance of a relationship with the other party.

Laura D’Orsi was raised in Monmouth County. She is certified by the Supreme Court of New Jersey as a Matrimonial Law Attorney and practices matrimonial law in Red Bank, at the Law Offices of Laura M. D’Orsi, LLC. She has been a licensed attorney since 1990 and has practiced matrimonial law exclusively for 14 years. Laura is a member of the Jersey Shore Collabora¬tive Law Group and is a Certified Mediator. She regularly assists the Court with Court ordered mediations. In addition to practicing law, Ms. D’Orsi has also helped run a battered women’s shelter in Essex County, which was a project very gratifying to her.

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Daniel Straffi Jr., Esq. www.straffiandstraffi.com The County Woman Magazine www.TheCountyWoman.com 670 Commons Way

Individuals who are able to accept the separation, willing to learn or manage their emotions, interested in the well being of the other side and committed to the process are good candidates for collaborative divorce.

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May/June 2015

H ealth& &W Wellness ellness H ealth

Are You Ready For Success With Weight Loss? T he HCG Diet at Ocean Health & Weight Loss is not being called the Weight Loss Cure for nothing!

We offer amazing and unique weight loss results in an industry that has been crawling with supposedly effective diets for years. But there are a few points that can make or break your success on the program: Stick to the diet. We are there with you all the way. The way the HCG interacts with the body means you get significant weight loss, but it also means that if you introduce fatty foods or sugar to your body while it is under the effect of the HCG it will soak it up resulting in higher than normal weight gain in reaction to the foods ingested. So having that one bite or two of your favorite dessert or those yummy ribs at the neighborâ&#x20AC;&#x2122;s barbeque will actually undo all the hard work youâ&#x20AC;&#x2122;ve put in for the entire day (or more). Keep ready made meals on hand. The hardest time to stick to a diet is when youâ&#x20AC;&#x2122;re starving. And when youâ&#x20AC;&#x2122;re on a low calorie diet (even with the fabulous distraction from hunger that the HCG provides) youâ&#x20AC;&#x2122;re going to have moments when you feel like you HAVE to eat RIGHT NOW! So keep ready made meals on hand. Pull one of the recipes from our site or whatever phase you are in from the computer and make it or double it or whatever you think will work for you (and your family if youâ&#x20AC;&#x2122;re feeding the group) and

then take the leftovers and package What Is Cheating And them up in handy individual size How It Can Happen? servings. The primary criterion of Test various herbal teas and fla- the HCG diet is to follow Low Calorie Diet (LCD). The dieterâ&#x20AC;&#x2122;s vors of Stevia until you come menu should not cross the limit up with a combination that you the amount of calories we give like. This is the only â&#x20AC;&#x153;limitlessâ&#x20AC;? item on the HCG diet in addition you per day. People suffering from to water so if you like it youâ&#x20AC;&#x2122;ll have obesity often fail to adhere to this a much easier time of it for the guideline and end up with failure. duration. Let us have a look how cheating Take advantage of the â&#x20AC;&#x153;season- can happen. â&#x20AC;˘ Obese people feel more hunger ingsâ&#x20AC;? you are allowed on the diet. Lemon juice in your water as compared to the normal people. can make a huge difference. Have There is some sort of psychologia variety of spices so that you feel cal compulsiveness in such kind of like youâ&#x20AC;&#x2122;re having something new appetite. They try to justify themand exciting when you serve up selves that a slight quantity would another meal of grilled chicken. not affect them. In this process, HCG dieters have even suggested they cross over the limit. that cutting up an apple and drizâ&#x20AC;˘ People have habit of being zling lemon juice on it serves as a over-enthusiastic while they are very yummy dessert. with friends or in restaurants. Cheating on HCG Diet Persuasion often carries them The HCG Diet is one of the most away. One such mistake can successful weight loss programs. become the cause of massive caloHowever, there are still some rie gain. reports of failure. In most of such â&#x20AC;˘ Dieters sometimes unconsciously cases, cheating has been the main overeat. The causes are unawarereason. People have consciously or unconsciously crossed the Linda Before limit of the low calorie diet per day. The consequences have been sudden stop in the weight loss process or unsatisfactory result after completion of the plan. You Must Follow The Plan to Reset Your Metabolism. (far right) Jill Houston, with

3 4

weight loss client Linda.

Though HCG has been in the headlines for then last couple of years, it is by no means a â&#x20AC;&#x153;newâ&#x20AC;? diet. Itâ&#x20AC;&#x2122;s roots go back almost 60 years to Dr. Simeon research into malnutrition for expectant mothers as well as obesity causes and effects; especially for patients with pituitary disorders. HCG or Human Chorionic Gonadtropin is a hormone produced within pregnant women. Dr. Simeon discovered that this hormone actually regulates the hypothalamus. The result for you and me is that when we eat a calorie restricted diet, our bodies burn fat for fuel while leaving the lean muscle tissue untouched. And it does this faster than anyone would have ever believed possible.

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ness or carelessness. They either donâ&#x20AC;&#x2122;t know the calorie value of the edibles they are consuming or they just overlook it. Tips to Avoid Cheating Though people find it extremely challenging to stick to the low calorie menu, proper planning can make your journey easier. Here are some tips to help you avoid cheating. Before After Your determination can help you accomyour body doesnâ&#x20AC;&#x2122;t go into starvaplish the HCG diet tion mode. Make sure you have a journey successfully. Always keep in mind that you have undertaken meal plan and stick to it. Ocean the program for some result. Donâ&#x20AC;&#x2122;t Health will help you with this plan. It will be easier once you be tense, rather be cheerful to start seeing the pounds fall off; think of the day when you will and that happens to most dieters have completed your goal, feel almost immediately! better than ever and love yourself being toned and healthy. Call 732-608-9681. Sticking to the HCG diet is Join the hundreds of men very possible. The low calorie diet and women who have in combination with the HCGâ&#x20AC;&#x2122;s dropped 20 to100 lbs. at effect on the body ensures that Ocean Health!

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www.TheCountyWoman.com The County Woman Magazine The County Woman Magazine www.TheCountyWoman.com

May/June 2014 May/June 2015

Pediatric Dentistry

Healthy Eating Leads To Healthy Smiles! If you want healthy and good-looking teeth as an adult, it is important to take care of them during childhood. Diet is directly linked to the strength and beauty of teeth- malnutrition is the number one cause for weak teeth and junk food is the biggest culprit when it comes to tooth decay. Vitamins, minerals, and other essential nutrients keep crowns safe from damage and they strengthen them so that your child can enjoy sweets without worry.

Dr.Max’s “Toothfairy Mobile” is a favorite attraction for children at community events. The children get to know the other side of dentistry beyond drillings and fillings.

Naturally, fruits and vegetables are the most important source of nutrients. ✺

Vitamin C is a critical component of dental health. It helps to boost resistance to cavities, and it has the added benefit of strengthening gums. Oranges, kiwis, and strawberries are great sources of Vitamin C and they prevent harmful bacteria from colonizing and contributing to gingivitis.

Dairy products are also essential in the fight against tooth decay. Rich in calcium ✺ and Vitamin D, milk should be a daily routine for your children. Encourage them to snack on low-sugar yogurt and cheese, because these dairy products raise the pH levels in the mouth (which helps prevent decay) and they reduce the effect of the acids produced by dental plaque.

Other powerful ingredients are seeds. Try to include seeds like pumpkin, sunflower ✺ and sesame seeds into your kid’s packed lunch- they go perfectly with sandwiches and burgers. Seeds are naturally high in fat content, which is very important for the body; they reinforce the enamel and reduce the chance of cavities.

Crunchy vegetables like cauliflower, green beans, carrots, and cabbage are not ✺ only delicious and readily available in your local grocery store, but they also provide a unique way of helping teeth through the necessity of extended chewing. The chewing process acts as a tooth cleaner, scrubbing the teeth and removing plaque that gathers after meals.

✺ Believe it or not, it is also important to

encourage your child to have a piece of sugarfree chewing gum daily. Chewing gum for fifteen minutes after meals is very efficient in polishing the tooth surface and removing food debris from the crevices. It also increases saliva production, which acts as an anti-bacterial agent.

✺ All of these foods will benefit your child’s

teeth, but it is also important to avoid the problematic foods

that can get stuck between teeth and cause cavities. As a parent, it is important to regulate the amount of sweets and sticky candies that your child consumes. Foods like caramel, taffy, hard candy, and soda can cause major destruction in your child’s mouth. If your child cannot resist sticky sweet temptation, it is a good idea to have some sugar-free gum handy to help protect against the harmful effects of these foods.

✺ Last but not the least, maintain the habit of seeing a dentist twice a year

and brushing at least twice a day. Regular brushing is the most essential part in maintaining healthy teeth both in childhood and adulthood!

Testimonials It was definitely a pleasant experience going to the dentist for the first time for my two-year-old daughter. The rooms were geared toward kids from the moment you walked in to the back. The colors were kid friendly and the TV’s in the ceiling was a great idea. I would definitely recommend you to my friends and will keep coming back. Thanks! - Mariana Cerzon All of your staff is excellent. Love Dr. Max. Wish you had an adult practice too! - Hailey Houghkirk If a wonderful feeling when we come to the office. My little boys love you guys and their happiness is what matters. Keep doing what you guys are doing, being wonderful and loving. - Noah Michaels I was very happy with my son’s visit. He is extremely afraid of the dentist. I usually cannot even get him in the chair. He really liked the dentist he saw and the lady who did his x-rays was very good. Trust me when I say in the past at other offices they cannot even get the x-rays done so I was very happy there. I actually referred my sister because she has the same ins and outs and could never find an office she liked. Once again, thank you for a very good visit and making my son feel comfortable. - Joseph Olivier

Dr. Max Sulla, D.D.S. and Associates

Pediatric, Laser & Orthodontic Dentistry FREEHOLD • MANALAPAN AREA 122 Professional View Dr. Bldg. 100, 2nd Floor Freehold, NJ 07728

732.625.8080

SOMSERSET • NORTH BRUNSWICK AREA EDISON • WOODBRIDGE AREA 1656 Oak Tree Road 1330 How Ln Edison, NJ 08820 North Brunswick 08902

732.249.1010

732.549.3773

www.TenderSmiles4Kids.com

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Pediatric Therapy

Summer Fun at Tender Touch Now is the time to plan for an exciting summer! Tender Touch Occupational Therapy offers a wide array of programs to help your children so that they don’t lose the skills that they have worked so hard to attain. It is also a time to get a jump start for the new school year or simply just have some fun!

About the Owner…

As the owner of Tender Touch Occupational Therapy, Terry Moser has worked with children for over 30 years. She is certified in Sensory Integration, Therapeutic Listening and has extensive training in Sensory Processing Disorders, Visual Processing Disorders and in working with children on the Autism Spectrum. She has lectured across the country on Sensory Strategies for Self Stimulatory Behaviors with Keynote Figures such as Temple Grandin and Dr. Andrew Bondy. She has also lectured at Brookdale Community College, Monmouth University and has worked and consulted in many school districts in Monmouth and Ocean County.

Pediatric Therapy

Tender Touch Occupational Therapy offers a variety of programs over the summer. We offer a Handwriting Camp for children in preschool to 4th grade using the Handwriting Without Tears Program. A multi-sensory approach is utilized to make handwriting fun! Many children have struggled with handwriting before our camp and after our program find that handwriting can be fun and realize they can succeed! We also offer an Executive Functioning Group for the child who needs to work on multi-tasking or needs to learn strategies to aid with their attention and organizational skills.

Tender Touch also offers a Sensory Motor Group using Sensory Integration Activities for children 2 ½ to 5 years of age. Movement activities, fine motor activities and even feeding skills are addressed during this dynamic and exciting group. For the child that is 5 years and older, a Yoga Group may be something that you are looking for. We have individual and group activities that can accommodate your child’s needs. Please call us at 732-335-4030 for dates and times. We are looking forward to helping you make your child’s summer fun!

Please call Tender Touch Occupational Therapy at 732-335-4030.

Ten d e r To u c h

Occupational Therapy

“Enrichment Beyond the Classroom!”

Give us a call!

732-335-4030

1 Bethany Rd. Suite 64 Hazlet, NJ 07730 Pediatric T herapy

Connect with us!

Summer Time Fun at Speech Start Bernadette Mullen MA, CCC-SLP Business owner of Speech Start, p.a. Speech and Language Pathologist/ Special Education Teacher

It is the time of year when many parents begin to plan for their children’s summer vacations. At Speech Start summer

is a time for a wide variety of groups. We provide language groups for preschoolers, academic support groups, literacy groups, recreational groups for adolescents and social skills training groups. Summer is a time for “speech fun” at Speech Start five days a week.

Language groups for preschoolers are offered three days a week. The group is a two and half hour program. Snack is provided and parents provide lunch. Preschool language group incorporates language rich activities with music, art, social skills, and physical activities. A licensed SpeechLanguage Pathologist and a certified Special Education teacher implement the group. Speech Start also offers groups for academic support. The summer is a wonderful time to review, support learned material and to preview new academic material. Our language specialists have provided assistance with summer reading programs for years. Successful reading is based on a higher level of language understanding. Literacy and language are

synonymous. Our summer literacy program is a wonderful group where children learn to love to read and understand what they have read!!! We have offered a The first is a formal curriculum, which summer recreational group for was written by Bernadette Mullen and a adolescents for many years. computer program, which was designed The current focus of the group by Christopher Dudick. The children are is to address functional life formally instructed at the table and then they skills, supplemental academics practice their skills on the computer. and social skills. If you are interested in any of our Finally, our social skills summer groups, please contact either programs are offered at both Bernadette Mullen or Laura Fanizzi at our Fair Haven and Hazlet (732) 888-3912 for times and fees. facilities. Our social skills program focuses on building friendships and on engaging appropriately with our age matched Pediatric Speech & Language Services Include: 1 Bethany Rd. peers. Suite 60, Building 5 Receptive and Expressive Language Disorder Our social skills Hazlet, NJ 07730 Autism Spectrum Disorder program includes P: (732) 888-3912 Semantic Pragmatic Disorder two components.

About the Owner…

Bernadette Mullen, MA, CCC-SLP is a Speech and Language Pathologist and owner of Speech Start, p.a. since 1993. She provides evaluation, planning, and therapy to children from birth to age 21. In conjunction with these therapies, she provides companion training for the parents of speech and language clients. Bernadette also professionally develops and trains adults who work with special needs children.

When Is It Right To Write?

The County Woman Magazine www.TheCountyWoman.com

Articulation/Phonological Disorders Social Skills Groups • Apraxia Summer Programs • Dyads

speechstar tnj.com

560 River Rd., Suite C Fair Haven, NJ 07704

P: (732) 212-1088 (Newly opened!)

May/June 2015

Law

More than 85 years of dedication, passion, integrity and professionalism. Areas of Practice:

Bankruptcy Civil Litigation Commercial Litigation Commercial Real Estate Community Association Contract Criminal Defense

DUI Employment Law Finance & Banking Land Use & Zoning Matrimonial & Family Medical Malpractice Mortgage Banking

Municipal Court Defense Municipal Law Personal Injury Real Property tax Appeals Residential Real Estate Traffic Violations Wills, Trusts & Estates

A commitment to excellence. A commitment to people.

This is a story we hear often...

Gracie was grateful when her son and daughter-in-law offered he urban Monmouth County home after her husband, Al, passed 1500 Lawrence Avenue 365 Rifle Camp Road, 210 Carnegie Center 140 Grand St. away. Suite 501 The home Princeton, she had shared Al for five decades was too much her to handle. Ocean, NJ 07712 Woodland Park, NJ 07424 NJ with 08540 White Plains, NY for 10601 732.922.1000 973.247.9000 609.751.5551 But she was lonely living with son, Howard,800.569.3886 and daughter-in-law, Sharon. They and their children tried to mak Active Schedule Wefriends CarebutAdult Care Keeps Members they had busy lives. She wantedat to make did not know how she would meet people her ageYoung who might The solution was We Care Adult Care, the quality adult day care center conveniently located in Union Adult Day Care This is a story we hear often… Gracie was grateful when her son and daughter-in-law offered her aSquare room inM town, NJ. We Care Adult Care provides supervision, nursing care, meals, activities, and transportation plus County her husband, Al, passed away.Gracie The home had shared five decades was too much for her mu toh daughter-in-law offered This home is a after story we hear often... wasshe grateful whenwith her Al sonfor and cost per hour than home care. ing withMonmouth son, Howard, and daughter-in-law, They their away. children tried to make her feel comfortable, but they ha urban County home after herSharon. husband, Al,and passed makestaff friends but did not know how she would meet people her age who might sharea nurse her interests. “Our includes activity director organize activities exercise, The home she hadanshared with Al fortofive decades was tooand much for herand to handle. who will monitor our member’s vitals and administer medication, coordinating with the member’s physicians,” The solution was We Care Adult Care, the quality adult dayRN. care center conveniently located in Union ButWe sheCare was Adult lonely living with son, Howard, and daughter-in-law, They andCare their children tried to ma said Care Administrator Tracey Wolfman, “OurSharon. We Care Adult memSquare Mall, Route 356,She in Middletown, NJ. friends We Carebut Adult Care provides supervision, nursing care, her age who migh they had busy lives. wanted to make did not know how she would meet people bers receive patience and kindness from our knowledgeable staff. The quality of life of our members activities, and transportation plus much more, and it is half the cost per hour than home care. ismeals, enhanced by was stimulating activities, meals, care, conveniently physical therapy, occuThe solution We Care Adult nutritious Care, the gourmet quality adult daynursing care center located in Union Square pational therapy and social services. town, NJ. We Care Adult Care provides supervision, nursing care, meals, activities, and transportation plus m “Our staff includes an activity director to organize activities and exercise, and a nurse who will monitor We Care Adult Care offer’s assistance f the answer is yes, you are one of many caregivers facing this costmember’s per than home care. our and administer coordinating with thenoted member’s physicians,” saidliving Adminis“Gracie is hour likevitals many widows and medication, widowers of her generation,” Wolfman. “While with and guidance to“Our obtain role today. It is one of the most challenging of life transitionsher trator Tracey Wolfman, We grants. Care Careactivities membersand receive patience and kindness from son’s family offered her a loving home, itFeel was isolating. And she hadand some health issues that “Our staff includes anRN. activity director toAdult organize exercise, a nurse who willourmonifree to stop in and see why “We Care”is on facing adult children as they are hurled into the role of knowledgeable staff. The quality of life of to our members enhanced by stimulating nutritious needed monitoring, but she didn’t want bemedication, a burden her family.” tor our member’s vitals and administer coordinating with theactivities, member’s physicians,” gourmet meals, care, physicalYour therapy, occupational therapyRN. and social services. saidareWe Carenursing Adult Care Tracey “Our Care Adult makes the difference! loved one caregiver for an elderly parent, and or spouse, particularly one You welcome to come for Administrator a complimentary day.Wolfman, Enjoy lunch and see We if We Care is forCare you! members receive patience and kindness fromenvironment our knowledgeable staff. The quality of life of our members will enjoy a Quality of life with a condition like Alzheimer’s disease. It is a complete shift in “Gracie is like many widows widowers her generation,” Wolfman. withassisThe We Care social worker is and available forofsupport and meals, willnoted provide guidance for living financial is enhanced by stimulating activities, nutritious gourmet nursing care,“While physical therapy, occuthatgrants, provides mindset and role reversal for adult children and or spouses facing her son’s family offeredaccess herStimulating a loving home,Activities, itresources, was isolating. Andmembers she had some health issues that needed tance through community assess and organize support groups for pational therapy and social services. monitoring, but she didn’t want to be a burden on her family.” Nutritious Gourmet Meals, Nursing this challenge. How this loved one is cared for is just one of thecaretakers. “Gracie Care, is like many widows and widowers Therapy, of her generation,” noted Wolfman. “While living with Physical & Occupational many decisions adult children must make. her son’s family offered her a lovingtohome, it was And she had some health issues that You are welcome come forisolating. a complimentary day. Social Service needs, and much more. We Care Adult Care is an alternative resource of care and respite! The cost isneeded monitoring, We Care Adult Care Inc. is an adult day care center whose purbut she didn’t want to be a burden on her family.” Enjoy lunch and seeExcellence if We Care is for you!Independence about half the price of home care based on an hourly rate. We Care Adult Care Providing Care --Promoting --Preserving pose is to provide the highest quality of alternative all You are welcome to come for a complimentary day. Enjoy lunch and see if We Carecare is fortoyou! has many alternative options to pay for services, including many grants that are 732.741.7363 seniors. We care is more than just our name—it’s our promise. Want toworker knowismore, us at and (732)741-7363 forfinancial more assis-Every day is a The We Care social availablecall for support will provide guidance for available to those that qualify. Listed below are some options; Call for us today forwill complimentary day! information or community to arrange a visit. •your www.wecareadultdaycare.com tance through grants, resources, assess members and organize support groups for The We Care social access worker is available support and provide guidance for financial assistance Long-Term Care Insurance- Many policies offer coverage for adult day UPCOMING Union Square Mall 552A Route 35, Redgroups Bank, NJ caretakers. UPCO through grants, access community resource, assess members andState organize support for07701 caretakers.

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care centers. Alzheimer’s Association – offers $1,000 non-income based reimbursement to individuals attending an adult day care program for memory-related disorders. Medicare Waiver Program – maximum income limit is $3,495 a month and liquid assets of $40,000 or less for an individual or $4,717 income $60,000 or less for a couple. State Wide Respite Program – Have income below $3,581 per month for single, ($4,847 for couples). Have liquid assets of less than $40,000-single /$60,000 for couples. Medicaid- Provides funding for people who are medically eligible.

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May/June 2015

Orthodontics

Are You Promoting Healthy Dental Habits For Your Children?

Sezer Olcay, DMD Holmdel Orthodontics

child’s dental health is set in motion before their first baby tooth sprouts. That means you should start promoting healthy dental habits for your child from day oneand keep encouraging them. While it may be cute to watch your little girl suck her thumb to soothe herself when she’s a baby, this habit becomes unhealthy if it is allowed to continue beyond about age four. Thumb sucking isn’t the only bad habit that needs breaking in young children. Finger sucking, mouth

breathing and tongue thrusting all can usher in a plethora of future oral health complications if uncorrected. We promote orthodontic evaluation by age seven here at Holmdel Orthodontics, and these unhealthy oral habits are part of the reason. All of these habits have the potential to cause malocclusions in children. Only by conducting a comprehensive evaluation can we determine if your child’s poor oral habits may lead to future complications.

The Dangers of Thumb/ Finger Sucking

Most children will outgrow the thumb/finger sucking habit on their own between ages 2 and 4, according to the American Dental Association. Aggressive sucking habits can adversely affect the way your child’s adult teeth erupt, and continuing the bad habit could increase their risk of developing an overbite and /or openbite, which in return can cause speech swallowing issues, says Dr. Sezer Olcay. There are lots of remedies you can find online to help your child break the habit. If it persists, we have several orthodontic options that will take away the pleasant sensation they get from thumb/ finger sucking.

Mouth Breathing Mayhem A child may breathe through her mouth instead of her nose if she has enlarged adenoids and tonsils, a deviated septum, asthma or nasal polyps, to name a few examples. Finding the cause and correcting it is imperative because prolonged mouth breathing can alter your child’s facial aesthetics. It can lead to the development of a long, narrow face, underdeveloped cheeks and a narrow palate. If identified early, orthodontic treatment can help prevent or correct related problems. “Early” is the key word here, because most forward and lateral upper jaw growth is completed by age 13-14 (girls), and most lower jaw growth is complete by age 16.

Tongue Thrusting Troubles

Tongue thrust is the term we give to an orofacial muscular

imbalance, and it describes the act of the tongue protruding through your front teeth when swallowing, speaking and even while at rest. This is a common condition in children that they typically outgrow by age 4 to 6. “If it continues beyond this age, your child’s bad habit could cause orthodontic issues,” says Dr. Olcay. Treatment for tongue thrust can involve an appliance similar to a mouth guard, or a more permanent option that Dr. Olcay can remove and adjust as needed. In some instances, your child may need to meet with a therapist for oral habit training, which helps retrain the muscles associated with swallowing by changing your child’s swallowing pattern. If you are concerned that your child exhibits any of these habits, call our office to schedule a consultation. We can tell you if the habit is something that would benefit from treatment.

BEAD

Habit Breaker

Thumb Sucking

Tongue Thrusting

Ocean Orthodontics

Dr. Sezer Olcay is not your typical orthodontist. In fact, it is not uncommon for her patients to keep in touch with her and actually form caring relationships. She has been practicing Orthodontics in Monmouth County for the past 11 years and deals with discrepancies and misalignments of the teeth and jaws. The official name of the specialty is “Orthodontics and Dento-facial Orthopedics.” She adds, “It is not just correction of crooked teeth, but also facial/jaw bone problems, such as under and over bite issues.”

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May/June 2015

Medical Professionals

I’m Ready To Have A Baby…Now What?

Paul L. Vetter, MD

Should I see a doctor before I try to get pregnant?

Yes. It’s very important that you see your doctor or nurse for a “prepregnancy check-up.” Your doctor or nurse will ask you questions that could affect your pregnancy. For instance, he or she might ask about your diet, lifestyle, use of birth control, past pregnancies, medicines, and diseases you have or that run in your family. There are several things you and your doctor or nurse can do to make sure your pregnancy is as healthy as possible. These things should be done BEFORE you try to get pregnant: • Discuss any medicines or

herbal drugs you take and find out if you need to make changes. • Discuss whether you are upto date on your vaccines. • Start taking a multivitamin that has Folic Acid (also called Folate). • Know which foods you should avoid and which foods are best. • Stop smoking, drinking alcohol, or taking illegal drugs.

Understand the risks to you and your baby if: • You have any medical conditions. • There are diseases that run in your family or your partner’s family. • There is a chance you have an infection you can catch during sex (called a sexually transmitted disease). • Discuss whether there are any harmful substances in your home or work. • Try to reach a healthy weight.

Not all medicines are safe during pregnancy

If you take any medicines, supplements, or herbal drugs, ask your doctor if it is safe to keep taking them while you are pregnant or trying to get pregnant. Some medications take a long time to leave your body completely, so it’s important to plan ahead. In some cases, your doctor and nurse will want you to switch to different medicines that are safer for the baby. Your doctor and nurse may need to slowly take you off some medicines because it could harm you to stop all of a sudden. This is especially important for women who take medicines to treat seizures, high blood pressure, lupus, and rheumatoid arthritis.

Are you current on your vaccines?

Women who want to get pregnant should be up-to-date on their vaccines. This includes vaccines against

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measles, mumps, rubella, tetanus, diphtheria, polio, chickenpox (also called varicella), and possibly hepatitis. Many women received these vaccines as children but it is important to check that you have had all the correct vaccines. Otherwise, you could get the diseases the vaccines protect against, and could cause problems for you or your baby. All women should also get a flu shot every year. Some vaccines cannot be given during pregnancy or in the month before pregnancy. It’s important to get these vaccines more than a month before you start trying to get pregnant.

Are you currently taking vitamins?

If you want to get pregnant, take a “prenatal” multivitamin every day that has at least 400 micrograms of Folic Acid. This helps to prevent birth defects. Start taking the multivitamin at least a month before you start trying to get pregnant. It’s not enough to start taking vitamins when you find out you are pregnant. At that point, your baby has already formed many body parts that rely on folic acid and other vitamins to develop normally. It is important not to take too much of any vitamin during pregnancy, especially vitamin A. Show your doctor or nurse the vitamins you plan to take to confirm the doses are safe for you and your baby. What are you eating now? Some foods are not safe for a woman who is pregnant or trying to get pregnant. If you are trying to get pregnant, do not eat raw or undercooked

Part 1

meat. Avoid eating shark, swordfish, king mackerel, or tilefish because they can have high levels of mercury. Check with your doctor or nurse about the safety of fish caught in local rivers and lakes. Limit the amount of caffeine you have by not drinking more than 1 or 2 cups of coffee, tea, or cola each day. Try to eat a balanced diet rich in fruits, vegetables, and whole grains. Wash fruits and vegetables before eating them.

Stop smoking, drinking alcohol, or taking illegal drugs

If you smoke, drink alcohol, or take illegal drugs, now more than ever it is important that you stop. Using even small amounts of these substances from time to time during pregnancy could hurt your baby. It’s not enough to stop as soon as you find out you are pregnant. By then the baby has already begun to form and could get damaged by smoking, alcohol, or drugs. If you need help quitting, speak with your doctor or nurse. There are effective treatments that can help. Your partner should also stop smoking and using illegal drugs. He should not drink too much alcohol.

Stay tuned for Part 2.

What are the risks to you and your baby?

May/June 2015

Medical Professionals

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Medical Professionals

Irregular Periods? It Might Be Polycystic Ovary Syndrome (PCOS) by Dr. Allen Morgan Morgan Fertility & Reproductive Medicine

olycystic ovary syndrome (PCOS) is the most common hormonal disorder in women, affecting 5-10% of the female population. It is characterized by irregular menstrual periods and infertility due to a lack of ovulation (release of an egg), and by signs of excess male hormones overproduced by the ovaries.

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Unwanted facial or midline body hair, acne or hair loss from the scalp can all be signs of excess male hormones. The symptoms usually start in adolescence, but can appear in the 20’s or 30’s. Many patients with PCOS may be overweight and experience conditions associated with obesity such as insulin resistance, increased risk of diabetes, abnormally high cholesterol levels and high blood pressure. The ovaries are usually enlarged and contain multiple small cysts that are actually follicles (the small fluid sacs that house the eggs) that haven’t grown large enough to release eggs.

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The actual cause for PCOS is unknown. It appears that women are genetically prone to this disorder. Female relatives of a patient with PCOS have a 50% chance of having it themselves. Certain lifestyle factors such as a high calorie, high carbohydrate diet and inadequate exercise may worsen many of the symptoms.

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Many symptoms are due to disruption of the menstrual cycle. A normal cycle begins with menstruation, which is essentially the lining of the uterus sloughing off. At this time, the ovary contains several small fluid sacs called follicles, each of which contains an egg. Under the influence of follicle stimulating hormone (FSH), one follicle should grow and make estrogen which is the hormonal signal to the

uterus to build up a thick lining where the embryo will eventually implant.

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The brain then uses luteinizing hormone (LH) to signal the follicle to rupture (ovulate) and release the egg into the fallopian tube. After ovulation, the ruptured follicle transforms itself into a progesterone factory called a corpus luteum. Progesterone is the hormonal signal to the lining of the uterus to be receptive to the implanting embryo and it keeps the uterus from contracting so as to maintain the pregnancy. The ovary stops making progesterone after about 10-12 days unless it receives a signal from the early embryo that it has implanted. The decline in progesterone levels cause the sloughing of the uterine lining (menstruation).

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It is best for women who are actively trying to conceive and experiencing irregular periods to see a fertility specialist right away for treatment. Treating PCOS, while relatively simple compared to other conditions, takes time - sometimes many months.

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May/June 2015

Fashion

Beauty

Put Yourself Into Something Beautiful The warmer weather is finally here. Now is the time to put a fresh spin on your wardrobe. This spring, find yourself in tunic tops. They look great with leggings, so you will be comfortable. These tops come in all different styles, so we can find the right one to make you feel your best. Full dolman sleeves, high-low hemlines and “cold shoulder” (open shoulder) are some of the styles from which you can choose. The good news for this season, pants are worn at all lengths: crop, ankle or long. Also, you can wear wide legs again – in both casual and dressy styles. You are not limited by color either – you can wear solids or prints. Anything goes! Dresses and skirts are available in a variety of hem lengths and sleeve design – sleeveless, cap sleeves or 3/4 sleeves. We carry a large selection of scarves and shawls that can modify your look in an instant. Also, we have a beautiful selection of cardigans and jackets, so you can update your outfit with the fickle spring weather or change your outfit from day to night. The right accessory – scarves, jewelry or handbags – also makes a huge difference in your wardrobe. While we don’t sell shoes, we can accessorize and update your basic black dress or find you an entirely new outfit. We love showing you different ways to change your look. Looking for a gift for Mother’s Day? We can help you find the perfect gift. Moms can even come in early and fill out a wish list! One of the best things about shopping at Lynne’s is that we receive new items on a regular basis, so there is always something different to find. The key is to shop early and often, and you will find fashions that you do not find at the department stores. Lynne’s is also the best place to find dressy and formal wear. From off-the-rack to custom orders, we help you make the choice that will make you beautiful – be it for a night on the town or a wedding. Our huge selection of Mother-of-the-Bride and Groom dresses will make your shopping experience easy. But don’t forget, many of our garments can be special ordered for you. You will need to give yourself plenty of time for the garment to arrive and for your alterations. So don’t wait to start your shopping experience – start early and your shopping experience will be more pleasurable. This will make your Mother-of-the-Bride or Groom dress shopping easy and fun. Plus, the personalized attention you receive from our experienced staff will leave you feeling very special. Appointments are not required, but if you would like to make one for special assistance with your shopping, please give us a call.

 We have a seamstress on premises available by appointment. Lynne Goldberg, owner of Lynne’s Fashion Boutique, has been in the women’s retail clothing business since 1989, and her boutique has evolved and changed along with the times. Specializing in Mother of the Bride or Groom attire, she also carries a wide selection of casuals, sportswear and accessories that will allow you to dress well and feel comfortable- for everyday or any occasion.

We Carry Sizes 2 to 20

Since 1999

• A Wonderful Selection of Evening Attire, Specializing in the Perfect Mother-of-the-Bride and Groom Dresses and Gowns • Fabulous Jewelry • Sportswear • Belts and Accessories • Handbags and More!

31 Church Street • Little Silver, NJ • (732) 530-5443 www.lynnesfashionboutique.com Hours Tuesdays - Fridays 10:30 am to 6:00 pm • Saturdays 10:30 am to 5:00 pm • Closed Sunday & Monday

Happy National Teacher’s Day

MAY 5, 2015

National Teacher Day is always the Tuesday of the first full week of May. An Arkansas teacher, Mrs. Mattye Whyte Woodridge, began corresponding with political and education leaders as early as 1944 about the need for a national day honoring teachers. One of the leaders she wrote to was Eleanor Roosevelt, who persuaded the 81st Congress to proclaim a National Teacher Day in 1953. In the late 1970s, the National Education Association, its Indiana and Kansas state affiliates, and its local affiliate in Dodge City, Kansas, all lobbied Congress on behalf of creation of a national day celebrating teachers. Congress declared March 7, 1980 as National Teacher Day for that year only. NEA and its affiliates continued to observe Teacher Day on the first Tuesday in March until 1985, when NEA and the National PTA established Teacher Appreciation Week as the first full week of May. The NEA Representative Assembly then voted to make the Tuesday of that week National Teacher Day. Source: http://www.calendar-updates.com/info/holidays/us/teachers.aspx

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May/June 2015

M Medical edical P Professionals rofessionals

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May/June 2015 March/April 2015

Medical Professionals

My Aching Back:

Get Relief With Epidural Steroid Injections

f you have ever experienced a pinched nerve, you know how debilitating and painful it can be. Often times it’s hard to make any movements and the pain can travel down your arms or legs. If this type of pain seems all too familiar to you, then a visit with Dr. Ghobriel of the Liberty Pain Center is long overdue. Dr. Ghobriel heads up the Liberty Pain Center as the Clinical Director, and is the appointed Chair of the Division of Pain Management at Centra State Medical Center. She has had great success with many of

Mariam Ghobriel

her patients using Epidural Steroid Injections (ESI) to relieve this type of pain, which is mostly caused by inflamed spinal nerves. This is a minimally invasive procedure that can help with neck, back or leg pain caused by spinal stenosis or disc herniation. Medicines are delivered to the spinal nerve through the epidural space, the area between the protective covering of the spinal cord and vertebrae. “The goal of an epidural injection is to relieve the symptoms of pain without depending primarily on oral medications that could have unpleasent side effects like stomach ulcers, injuries to the liver or kidneys, and even addiction. In some cases, the injections can help avoid or even postpone surgery. Conversely, the procedure will compliment surgery in situations where surgery has resulted in incomplete relief of pain, or onset of new pain afterwards,” adds Dr. Ghobriel. The overall goal of the procedure is to reduce the inflammation to the lowest level possible and allow the patient to return to everyday activities without restrictions. In many cases, her patients return to work right after the procedure is finished and there are no driving restrictions. She adds, “We do offer sedation for those who prefer it. After all, everyone is different and it’s a very personal decision that has to do with their own level of anxiety.”

An ESI is a same day procedure that doesn’t require admission to a hospital or an overnight stay. It takes about 10-15 minutes to perform and is performed under the guidance of a special x-ray machine called a fluoroscope. This device takes multiple images of the spine during the injection. The patient is positioned on his or her abdomen and the target area is cleaned with an antiseptic solution. Next, a very fine needle (most often smaller than the caliber of an IV catheter) is advanced under direct vision using the x-ray machine until placed in the correct position. An Iodine-based dye is injected in real-time to confirm the proper placement and a low dose steroid is administered. Finally, the needle is removed and the site is covered with a Band-Aid. When the procedure is complete the patient walks out of the room assisted by a team of trained nurses and technicians. Dr. Ghobriel has the team engage the patient from beginning to end to make this a more pleasant experience in a relaxed environment.

Testimonial: After experiencing back pain and leg pain for six months without any relief, I went to Liberty Pain Center. Dr. Ghobriel performed shots in my back. I felt so much relief that I am now able to resume my life without any pain. Thank you Dr. Ghobriel! Johanna W.

In her practice, Dr. Ghobriel treats a variety of conditions including those suffering from disc problems, sciatica, and patients that have injuries stemming from car accidents or work place injuries. She also treats non-surgical joint pains due to sprains, meniscal tears or arthritis. She also treats nonsurgical joint pains due to sprains, meniscal tears and arthritis in addition to treating early or advanced stage cancer.

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This allows the patient to feel at ease and reduces anxiety. Because the patient’s skin is numbed with a local anesthetic similar to Novocain, there is no pain involved with the injection. Dr. Ghobriel says it can take up to a couple of weeks before improvement is noticed. Most conditions require multiple sessions, similar to physical therapy or chiropractic treatment. However, it really depends on the severity of the condition and how many nerves are involved. She has seen some patients require just one session and others up to three. The benefits of ESI tend to be temporary and the duration of relief can vary from weeks to several years. If necessary, the patient can have successful epidurals repeated in the future after discussing it with their physician.

Liberty Pain Center Specializing in Interventional & Minimally Invasive Pain Relief

Want to feel liberated from the Pain? Dr. Mariam Ghobriel

1001 West Main Street | Suite A Freehold, NJ 07728

732-303-0102

Joint Injections = Radiofrequency Nerve Injections = Spinal Cord Stimulators Trigger Point Injections = Epidural Steroid Injections

www.libertypaincenter.com May/June 2015

Live Life

Medical Professionals 21 Medical Professionals Dry:M Treating Urinary Incontinence25 edical Professionals

IEnlarged Prostate And Urinary Tract Issues

t would be difficult to watch an hour of that women wait and the bladder to release urine asked to limit fluid intake, avoid bladder primetime television today without seeing average of 6.5 years at the wrong time. irritants such as caffeine and alcohol, an advertisement for overactive bladder from the first time they The first step towards and do pelvic floor exercises – “kegels”. medicationMy or adult diapers. experience symptoms treatment is diagnosing There are also medication commonly husband just turned 68 years old and is The common signs and symptoms of BPH include: The fact is more than 37 million until they obtain• aAn often recurring, sudden urge to urinate. the type of incontinence used to treat overactive bladder (OAB) up States three –orone four times night tofor their adults inwaking the United in six – perdiagnosis and and are sometimes prescribed to treat • An increase in frequency of urination - especially at then night.pinpointing interpersonal and professional function. People thecause causeor of symptoms as blood in the t from would be difficult to watchurinary an hour suffers •problems. A weak or interrupted urinary stream. bladder thewith underlying stresssuch urinary incontinence. In certain urinate. Heoveractive has alsobladder, complained thatofheprimetime strainscontrol to sexual, bladder control problems often struggle with simple everyday urine (hematuria), painful urination television today without seeing an advertisement • Difficulty starting and stopping urination. causes. We ask our patients cases of incontinence involving the frequency, or urgency. Unfortunately, Peopleforexperiencing pass urine. Our primary care physician diagnosed activities, suchorasleaking working,ofshopping, for (dysuria), urinary incontinence, urinary bladder Dribbling urine. or seeing a movie, many overactive people dismiss suchmedication urinary or adult diapers. bladder control• issues to complete a “voiding miscommunication of nerves to the bladder, fear of embarrassing wetting episodes or not being near a frequency or hesitancy, an inability to pass • Inability to completely empty the bladder. diary” which provides him with (Benign Prostatic symptoms toBPH be of than “getting older”Hyperplasia). suffer diminished great a neurostimulator (commonly called The factaispart more 37 million adults inoften the United restroom. Also, overactive bladder sufferers are two to three urine (retention), or a sudden and and do not seek medical intervention. social lives. Even mild symptoms affect insight and aids in diagnosis. may be the best States – one in six – suffers from overactive bladder, Diagnosing BPH Is there any hope for us to get a good night’s rest times more likely to regularly experience disturbed sleep, overwhelming needa Bladder to urinatePacemaker) (urgency) and The fact frequency, is, overactive bladderUnfortunately, and urinary many urinary or urgency. people social, sexual, interpersonal and professional The gold standard for diagnosing treatment option. Diagnosing BPHself-esteem. is often initially done through a overeating, and poor much more. again? ~(the Sarah Q.symptoms dismiss such urinary to be a part of “getting older”Peopleroutine retention inability to completely empty function. with bladder urinary issues, including incontinence, is Incontinence is a not a hopeless digitalcontrol rectal exam (DRE). Additionally, we Treatment: andbladder) do not seek intervention. overactiveoften Diagnosis: the are medical not a normal part of The the fact is,problems struggle with simple called Urodynamic testing or Urodynamic problem. There are many treatment options also order a common blood test known as PSA (prostate behavior modification may diagnosis Bladder issues can be caused a multitude I and am urinary happy to tell you a little medical bladder retention (thewith inability to completely aging process, can cause embarrassment, everyday activities, such antigen) as control working, study. This seriescauses of of tests, all doneIninsome one instances, available, however, only proper specific to explore and rule by out other be sufficient to deal with urinary incontinence. factors. In certain cases, pregnancy and childbirth, obesity, empty bladder)the arequality not a anormal part of the aging and canthe diminish of living shopping, a movie, for fear including of visit, along(infection with the data for these symptoms prostatitis of from your voiding will lead to proper treatment. Although intervention, getting fulldaily night’s sleep is process,or seeing You may be asked to limit fluid intake, avoid bladder weak pelvic muscles or diabetes candiary contribute to cases, overactive can cause embarrassment, and can diminish the quality of daily wetting dramatically. embarrassing episodes or not beingcancer. give the physician objective data behavior modification and pharmaceutical the prostate) and prostate Inwill certain we definitely possible. We see many men with BPH irritants such as caffeine and alcohol, and do pelvic bladder. Additionally, certain medications or inactivity also living dramatically. Facts: our patients cystoscopy. Thisfunctions. Additionally, near a restroom.recommend Also, overactive bladder have arelated to bladder therapy work for some, they may be floor exercises – “kegels”. There are also medication can contribute to such issues. who ultimately find relief fromtotheir symptoms. allows us to see the size of the prostate and a cystoscopy to Facts: Women are twice as likely as men sufferers are twoprocedure to three times more likely physicians often perform or poorly tolerated by other Patientused Testimonials: commonly toineffective treat overactive bladder In some bladder control problems are caused by evaluate thepeople, degree of obstruction. experience is Women urinary are twice incontinence. as likely as men This to experience tourinary regularly experience disturbed sleep, further assess the urinary tract.(OAB) A cystoscopy patients. It is definitely possible to and been are sometimes treat stress miscommunication between nerves. Specifically, the brain and I have a patient atprescribed UniversitytoUrology since 2005. My incontinence. This is due to pregnancy, childbirth, menopause due to pregnancy, childbirth, menopause overeating, and sacral poor self-esteem. is a testdothat the doctor to look at doctor referred live In life Understanding BPH Treating BPH urinary incontinence. certain cases incontinence family medry. to Dr. Gaziofbecause of his good nerves, which control the bladder, not allows communicate andthe the structure structure of the female urinary tract. OlderDiagnosis: women and of the female urinary the inside of the bladder and the urethra reputation amongst the doctors and he was right. I was suffering Men who have symptomatic BPH will eventually involving the miscommunication of nerves to the The prostate is a walnut-sized gland that produces properly, causing the nerves to tell the bladder to release urine experience urinary incontinence more often than younger tract. Older women experience urinary Bladder control issues can be caused using a thin, lighted instrument called a day and night with urinary issues. At my worst, I was going to the require some medical intervention. BPH can be treated bladder, a neurostimulator (commonly called a Bladder semen, the fluid that transports sperm and is located at the wrong time. Types ofdribble Incontinence women. incontinence more often than younger bathroom every hour and would urine. I was diagnosed by a multitude of factors. In certain cases, cystoscope. This study helps find the cause by taking daily medications, however, many men find Pacemaker) may be the best treatment option. The first step towards treatment is diagnosing the type of below the bladder and surrounding the urethra (the tube • Stress Urinary Incontinence Bladder control problems may also affect younger people, and childbirth, withurine BPH. I triedisthe medications and they helped but(SUI) I did – women. pregnancy weak symptoms such as blood this to be aobesity, burden. Ultimately patients often a not a hopeless problem. There are incontinence and then pinpointingofmany the underlying cause orfind in theIncontinence that carries urine out of the body). BPH is a common, Leakage on effort, exertion, sneezing, especially women who have just given birth. In fact, a recent not feel completely better. After a flow test, the doctors recom non-cancerous Bladder control problems may where also the prostate pelvic muscles or diabetes contribute painful urination many (dysuria), minimally invasive treatment or(hematuria), surgery to be the correct treatment options available, however, only proper causes. We can ask our patients to complete a “voiding diary” condition in men mended I have a procedure. After reviewing all the information, study found 25% of women over 18 years old has experienced or coughing. affect younger people, especially women tocan overactive bladder. Additionally, certain urinary incontinence, treatment option them.and Such treatments are doneurinary frequency diagnosis willtolead to proper treatment. Although behavior which provides greatfor insight aids in diagnosis. gland becomes enlarged. An enlarged I was willing proceed. a few weeks after the procedure, episodes ofjust leaking urine involuntarily, andprostate one-third ofconmen • UrgeWithin Incontinence –work who have given birth. In fact, a recent in the office or at the same day surgery department and medications or inactivity also can contribute or hesitancy, an inability to pass urine modification and pharmaceutical therapy for some, they The gold standard for diagnosing urinary issues, including strict the urethra and cause a wide variety of symptoms I noticed a remarkable change. I am peeing like I was 20 again! have experienced loss of bladder control during their adult Leakage accompanied bypatients. or preceded rarely require any admission to the hospital. study found 25% of women over 18 years may be ineffective or poorly tolerated by other to such issues. (retention), or a sudden and overwhelming incontinence, is called Urodynamic testing or Urodynamic ~ S.P., North Brunswick, NJ including frequent urination or difficulty urinating. lives. by urgency (an overwhelming need to Untreated BPH can lead to need permanent damage to the is definitely old The has experienced episodes of of leaking (NIH) data study. This series of tests, all done in one along with theand It In some people, bladder to visit, urinate (urgency) much more. possible to live life dry. Institutes OnlyNational one in eight AmericansHealth who have experiencedstates loss of I met Dr. Gotesman at the hospital in July. Wego!”) consider urinate…“Gotta go, gotta bladder oryour kidneys. Idiary would you to take your urine involuntarily, andofone-third of men data from voiding willurge give the physician problems are caused by Treatment: that more thanhave 50% in their 60’s data and control as many as ourselves blessed that he was on-call that weekend. We bladder control been men diagnosed. Recent has shown • Mixed Incontinence – husband to a urologist for further evaluation and to data related to bladder functions. Additionally, have experienced loss of80’s bladder controlsymptoms between nerves. In some instances, behaviorwere very surprised that he took the time to discuss my issues 90% in theirwait 70’sand and have oftime BPH. objective that women average of 6.5some years from themiscommunication first Leakage associated with urgency AND discuss theoften treatment options that are best for him. physicians perform a cystoscopy to further assess thesufficientand during their adult lives. Specifically, the brain and sacral nerves, modification may be to answer deal my husband’s questions. He even took the time they experience symptoms until they obtain a diagnosis for effort, exertion, sneezing, or coughing. • Stress Urinary Incontinence (SUI) – Leakage on urinary tract.doAnot cystoscopy is a testwith that allows the doctor to their Only one in eightproblems. Americans who have draw be a picture of the kidney and bladder and explain why I which control the bladder, urinary incontinence. Youto may For more information, bladder control effort, exertion, sneezing, or coughing. look at the inside of the bladder and urethra using a thin, am having issues. He is like an encyclopedia for Urology. We experienced loss of bladder properly, callthe609-581-5900, People experiencing bladdercontrol control have issues oftencommunicate suffer switched to UUANJ and feel– so lucky to accompanied have 928-5300 found suchby or lighted instrument called a cystoscope. This study helps find For more information call (609) 581-5900 or (732) • Urge Incontinence Leakage (732)928-5300 been diagnosed. Recent data has shown causing the nerves to tell diminished social lives. Even mild symptoms affect social, caring doctor.by ~ Mary R., Toms River, NJ preceded urgency (an overwhelming need to www.UUANJ.com or visit www.UUANJ.com oravisit

Live Life Dry: Treating Urinary Incontinence Q

Mukaram Gazi, MD, FICS, FACS

Director, Robotics & Laparoscopic Surgery Board Certified Urologist Assistant Clinical Professor Rutgers/RWJ Medical School NJ Monthly Magazine Top Docs Recognition; 2012 - 2014 Consumer Research Council, America’s Top Urologist; 2008 - 2013 Consumer Research Council, Compassionate Physician Award; 2008 - 2013 Director, Robotics & Laparoscopic Surgery Board Certified Urologist Board Certified Urologist Fellow American of Surgeons Assistant ClinicalCollege Professor, Rutgers RWJ Medical School -New Brunswick Adjunct Associate Professor; Fox Chase Cancer Center NJ Monthly Top Docs In practice in Ocean County 1974 Top Urologist: 2008-2013 Consumer Research Council,since America’s AdultResearch & Pediatric Urology Consumer Council, Compassionate Physician Award: 2010-2013 Specializing in Ambulatory Urology 5 Years of Post Graduate Clinical Research Experience Member- Alpha Omega Alpha Medical Honor Society Director, Robotics & Laparoscopic Surgery Member - American Urological Association Board Certified Urologist - 2014 Compassionate Physician Award Adult Vitals & Pediatric Urology Assistant Clinical Professor, Rutgers Specializing in Ambulatory UrologyRWJ Medical School- New Brunswick NJ Monthly Top Graduate Docs: 2011-2014 5 Years of Post Clinical Research Experience Consumer Research Council, America’s Top Urologist: 2008-2013 Membner - Alpha Omega Alpha Medical Honor Society Consumer Research Council, Compassionate Physician Award: 2010-2013 Vitals - 2014 Compassionate Physician Award

Mukaram Gazi, MD, FICS, FACS Parvez Mahmood, MD, FACS Alexander Gotesman, MD

Mukaram Gazi, MD, FICS, FACS Alexander Gotesman, MD Robert Peterson, DC, PA-C Board Certified Physician Assistant

Professor - Physician Assistant Program,MD Philadelphia University Alexander Gotesman, Robert Peterson, DC, PA-C Adult & Pediatric Urology Specializing in Ambulatory Urology Board Certified Physician Assistant 5Professor Years of -Post Graduate Clinical Research ExperienceUniversity Physician Assistant Program, Philadelphia Member- Alpha Omega Alpha Medical Honor Society Vitals - 2014 Compassionate Physician Award

Dominique Etienne, PA-C

Board Certified Physician Assistant Michael Nazmy Jr., MD Howard University Physician Assistant Program Fellowship trained in Urologic Dominique Etienne, Cum LaudeOncology HonorsPA-C Fellowship trained in Minimally Invasive & Robotic Surgery College of Pharmacy, Nursing and Allied Health:

Board Certified Certified Urologist Physician Assistant Board Dean’s List,Assistant 2008-2013 Howard University Physician Program, Cum Laude Honors MemberAmerican Urological Association Trustee Scholar, 2009-2011 College ofAmerican Pharmacy, Nursing and Allied Health: MemberMedical Association Dean’s List, 2008-2013 Trustee Scholar, 2009-2011

For more information, urinate…”Gotta go, gotta go!”) call 609-581-5900, University Urology Associates of New Jersey was established in 2003 • Mixed Incontinence – Leakage associated (732)928-5300 and is proud to be serving Mercer, Monmouth and Ocean Counties. Our with effort, exertion, sneezing, or coughing. or visit iswww.UUANJ.com mission to be a solutions basedurgency practice,AND maximizing the value of the service we

deliver our patients with commitment to excellence, integrity, innovation Urology Associates of New Jersey wasstate established andUniversity treatment. We continually strive to provide comprehensive of the in 2003 and is proud to be serving Mercer, and making. Ocean Counties. art urological services with emphasis on patient education and Monmouth shared decision Treating Our patients with compassion, dignity, and based trust remains steadfast goal. missionmutual is to berespect, a solutions practice,out maximizing the value of the service we deliver our patients with commitment to excellence, integrity, innovation and treatment. We continually strive to provide comprehensive state of the art LOCATIONS: urological services with emphasis on patient education and shared decision making. Treating patients with Hamilton Hamilton compassion, dignity, mutual respect, and trust remains out steadfast goal. 1374 Whitehorse Whitehorse Hamilton 1374 Hamilton 11 Square Road Road Square Hamilton, NJ 2 Hamilton, NJ 08690 08690 LOCATIONS: Howell Hamilton Howell 2364 Route 9 South 2364 Route 9 SouthHamilton 1374 Whitehorse 1 Howell, NJ 07731 Howell, NJ 07731 Square Road 2 Lakewood NJ 08690 Hamilton, Toms River:70 East 3 900 Route 20 Hospital NJ Drive Lakewood, 08701 Toms River, NJ 08755 Howell Toms River: 2364 RouteDrive 9 South 20 Hospital 34 FORHowell, APPOINTMENTS: NJ 07731 Toms River, NJ 08755 3

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AdultUrology Urology••Pediatric PediatricUrology Urology •• Urologic Urologic Oncology Oncology •• Male Male Infertility Infertility Adult Sexual Dysfunction • Urodynamics • Stone Disease • Female Urology Sexual Dysfunction • Urodynamics • Stone Disease • Female Urology Laparoscopic Surgery • Robotic Surgery • Reconstructive Urology Laparoscopic Surgery • Robotic Surgery • Reconstructive Urology

www.TheCountyWoman.com www.TheCountyWoman.com TheCounty County Woman Woman Magazine Magazine The Adult Urology • Pediatric Urology • Urologic Oncology • Male Infertility

Types of Incontinence

(732) 900 Route 70 East (609) 581-5900 928-5300 Lakewood, NJ 08701 (732) 928-5300 UUANJ.COM

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September/October May/June 2014 2015 (609) 581-5900

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The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Business Spotlight

~ Interview With Dr. Michael Ricciardi ~ You Don’t Have to Be A Star to Have A Star Quality Smile! Amara Dental, Howell, NJ is proud to introduce Dr. Ricciardi, cosmetic dentist to the stars! 4538 Route 9 South Howell, NJ 07731

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r. Ricciardi is a talented provider of functional esthetic treatment, full mouth reconstruction, and complex restorations. Because of his advanced restorative training, he is able to develop health-oriented treatment plans that may involve steps ranging from orthodontic treatment or gum recontouring to bite reconstruction or a smile makeover. Even multifaceted cases will be tackled with ease. He has provided cosmetic work for high-profile smiles seen on television, film, and the stage. His patients trust his skills, expecting stunning but highly functional results. From preventive to reconstructive, tending to patients with every dental need, Dr. Ricciardi endeavors to establish patients’ strong oral health, ensuring they have the tools and knowledge to support enduring smiles. MCW: What type of dental services do you provide at Amara Dental in Howell? Dr. Ricciardi: Preventive dental care is the foundation of your oral health. We provide regular dental exams, oral hygiene and dental health education, and ongoing support. Porcelain Veneers - when natural enamel is lacking in some way, veneers add an external layer, rebuilding and refreshing smiles. Yours will be made in any shape or shade you wish. Dental Crowns - to recreate lost structure to strengthen teeth and improve their appearance. Dental Implants - that will replace missing teeth in the most comprehensive way possible as well as rebuild structure below the gum line to provide the ultimate source of support.

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MCW: What attracted you to becoming an expert in Cosmetic Dentistry?

Dr. Michael Ricciardi Dr. Ricciardi earned his doctorate from the University at Buffalo School of Dental Medicine. Dr. Ricciardi’s education is ongoing, as he continues to study emerging techniques, technologies, and restorations. As a lifelong student, he engages with up-to-date research to provide dental care that is both comprehensive and current. Ongoing Education, Achievements, and Affiliations include: • The Kois Center – Graduated from the prestigious nine-course Kois program, which encompasses over 200 hours of rigorous, comprehensive continuing dental education in all clinical fields • Dawson Academy – Completed the curriculum for advanced general dental education • The Ickert Teaching Centre – Received extensive training in dental implant planning and placement • Member of The American Academy of Cosmetic Dentistry • Member of The International Congress of Oral Implantology • Appeared on Discovery Health’s “Facing Trauma” to provide pro bono restorative work for victims of domestic violence • Has published numerous articles on functional esthetics

Dr. Ricciardi: Cosmetic dentistry permits a wide variety of changes to be made to your smile, without compromising its strength or function. I realized that changing someone’s smile could change their life. There are so many people that are embarrassed to smile because they don’t like their teeth. I have come to see this as a disability in a way. It could have a negative effect on a person’s confidence, personality and their social interactions. I feel lucky to be able to help my patients realize what they never thought was possible, to wake up and face the world with a smile that they could be proud of. The husband of one of my patients said it best when he pulled me aside to thank me. “You gave my wife the smile she deserved to be born with!”

MCW: What is your philosophy on creating a patient’s smile?

Dr. Ricciardi: When dentists take time to build relationships with their patients, dental care is both tailored and satisfying. I work with each patient one-on-one to educate and collaborate on the resulting restoration. This ensures patients are comfortable throughout the treatment process, and results in the gorgeous smiles they’ve been imagining.

MCW: What can patients expect as part of their visit to Amara Dental?

Dr. Ricciardi: Our goal at Amara Dental is Making Families Smile! Our entire team is dedicated to providing you and your family with the personal attention and gentle care that you deserve. We are a dental practice devoted to restoring and enhancing the natural beauty of your smile using conservative, state-of-the-art procedures that will result in beautiful, long lasting smiles! As an entire practice, we are highly dedicated to continuing education so as to remain on the cutting edge of sterilization techniques, safety procedures and personalized patient care. Each team member has detailed responsibilities that require a substantial amount of training and experience with our focus being exceptional care for our patients.

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May/June 2015

M edical Professionals M edical Professionals

25 23 15

What Gastroesophageal Reflux Disease (GERD)? What IsIs Gastroesophageal Reflux Disease (GERD)? What are the causes of GERD?

Sď?¨ď?Ąď?ď?Šď?Žď?Ą Dď?¨ď?Šď?Źď?Źď?Żď?Ž, M.D. Sď?¨ď?Żď?˛ď?Ľ Gď?Ąď?łď?´ď?˛ď?Żď?Ľď?Žď?´ď?Ľď?˛ď?Żď?Źď?Żď?§ď?š Aď?łď?łď?Żď?Łď?Šď?Ąď?´ď?Ľď?ł, PC

What is GERD?

Gastroesophageal reflux disease (GERD) is a chronic digestive disease where stomach acid flows back or refluxes into the food pipe, or the esophagus. During swallowing, the lower esophageal sphincter relaxes so that food and liquid can go into the stomach. If the valve is abnormal or weak, the acid will come back to the esophagus. The lining of the esophagus is not designed to tolerate the acidity of stomach contents. Therefore, reflux of acid into the esophagus causes symptoms. It is reported that more than 60 million Americans have heartburn at least once a month. More than 15 million people have heartburn daily.

What are the symptoms of GERD?

Symptoms include heartburn, which is a burning sensation in the chest. Patients can have acid regurgitation, which feels like a sour bitter fluid in the throat. The burning can often last for up to 2 hours and is often worse after eating. Other signs of GERD include chest pain, difficulty swallowing, dry cough, hoarseness or throat, and occasionally a sensation of a lump in the throat.

Many conditions can lead to the reflux of acid into the esophagus. A hiatal hernia can cause the lower esophageal sphincter to get weak. A hiatal hernia occurs when the upper portion of the stomach moves up into the chest cavity through a small opening in the diaphragm. While a hiatal hernia may let stomach contents to reflux more easily, many people with a hiatal hernia do not have problems with gastroesophageal reflux disease. Other conditions that can contribute to GERD are smoking, obesity, and pregnancy. Some foods and beverages can also play a role in GERD. These include chocolate, fried or fatty foods, peppermint, citrus foods, tomato products, pepper, coffee and certain alcoholic beverages.

What are the complications of GERD?

for GERD. It is important to avoid foods and beverages that can weaken the lower esophageal sphincter. These include chocolate, peppermint, fatty foods, citrus fruits, coffee, and alcohol. Doctors also recommend eating meals at least 3 hours before bedtime. Smoking cessation is also important. Many patients also find relief by elevating the head of the bed using 6 inch blocks or using a wedge. This allows gravity to reduce the reflux of stomach contents in the esophagus. When lifestyle changes are not enough, antacids can be used to neutralize stomach acid. Long term use

risk of esophageal cancer.

How is GERD diagnosed?

The most important part of diagnosing GERD is your history, or your signs and symptoms. Your physician may suggest additional tests as needed. These can include an x ray of the upper digestive tract known as an upper GI series. This entails drinking a barium liquids which fills the inside lining of the digestive tract and then having x rays taken of the esophagus, stomach, and small intestine. Another test is an upper endoscopy or EGD. During this procedure, a gastroenterologist will insert a thin flexible tube equipped with a light and camera into the throat while you are sedated. The doctor can then examine the stomach and esophagus and take a biopsy looking for Barrettâ&#x20AC;&#x2122;s if needed. In some difficult cases, patients may also need a test to monitor the amount of acid in the esophagus. This is done by using an acid measuring device. A monitor that is a clip is placed in the esophagus during the endoscopy. The probe transmits a signal to a small computer that is worn around the waist for 2 days, and the probe then falls off and is passed in your stool.

If you have heartburn more than twice a week or take over the counter reflux medications, it is important that you see your doctor. Chronic untreated reflux can lead to complications. These include esophagitis, esophageal ulcers, or narrowing of the How is GERD esophagus from formation of treated? scar tissue. These can all make Dietary and lifestyle changes swallowing difficult. Another are the first line of treatment significant complication of GERD is a precancerous change in the lining of the esophagus known as Barrettâ&#x20AC;&#x2122;s esophagus. In this condition, the lining of the esophagus is composed of Services: different cells and can be associated Adult Gastroenterology with an increased Colon Cancer Screenings

of antacids can result in side effects. Medications that reduce stomach acid can also be used. These include H2 blockers such as Tagamet, Zantac, or Pepcid. Another type of drug known as the proton pump inhibitor (PPI) can block an enzyme used to produce acid in the stomach. Examples include Nexium, Prevacid, Prilosec, Dexilant, and Protonix. If you are experiencing the symptoms of GERD, please call 732-517-0060 to schedule an appointment at Shore Gastroenterology Associates with Dr. Shamina Dhillon.

Standing: Drs. Terrany, Schwartz, Maki, Akhtar Center: Maggie Doherty and Denise DiPierri, Nurse Practitioners Sitting: Drs. Turtel and Dhillon

Board BoardCertiďŹ ed CertifiedPhysicians Physicians Our Female Physicians

Mitchell S.Shamina Schwartz, M.D., M.D. F.A.C.G., F.A.C.P. Dhillon, PennyS.S.Turtel, Turtel,M.D., M.D.,F.A.C.G., F.A.C.G., F.A.C.P. F.A.C.P. Penny Our Male Physicians Ben Terrany, M.D., F.A.C.G., F.A.C.P. Reza Y. Akhtar, M.D. Shamina Dhillon, M.D. Junsuke Maki, M.D. Junsuke Maki, M.D. Mitchell S. Schwartz, M.D., F.A.C.G., F.A.C.P. RezaM.D., Y. Akhtar, M.D.F.A.C.P. Ben Terrany, F.A.C.G.,

Endoscopic Procedures Gastrointestinal Diseases Liver Diseases

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www.TheCountyWoman.com TheCounty CountyWoman WomanMagazine Magazine www.TheCountyWoman.com The

July/August January/February May/June2014 2015

Medical Professionals

Can Sclerotherapy Help Treat My Spider Veins? Showers are permitted, but the water should be cooler than usual.

Girija Surya, M.D.

Board Certified in Thoracic & Cardiovascular Surgery

Hi Friends! In earlier articles we have discussed the pathophysiology of Varicose Veins and treatment of larger Varicose Veins. Today we will talk about the treatment of Spider Veins.

✺

Sclerotherapy

Sclerotherapy is the name of a non-surgical procedure to treat spider veins. The procedure involves injecting a solution through a very fine needle directly into the vein. The solution irritates the lining of the blood vessel, causing it to swell and stick together and the blood to clot. Over time, the vessel turns into scar tissue that fades from view. Sclerotherapy is a proven procedure and has been in use since the 1930s. During the procedure, you may experience mild discomfort for one to two minutes, especially when larger veins are injected. The procedure itself takes approximately 15 to 30 minutes. The number of veins injected in one session varies and depends on the size and location of the veins, as well as the general medical condi¬tion of the patient. Agents used for Sclerotherapy are Polidocanol and Asclera, 1% & 0.5%.

✺

What Happens After Sclerotherapy?

After sclerotherapy you will be able to drive yourself home and resume your regular daily activities. Walking is encouraged. You will be instructed to wear support stockings to compress the treated veins. Following the injections, avoid aspirin, ibuprofen, or other anti-inflammatory drugs for at least 48 hours. Tylenol may be used if needed. Also, you should avoid the following for 48 hours after treatment: Before After • Hot baths • Hot compresses • Whirlpools or saunas • Direct exposure to sunlight up to two weeks at least.

Medical Professionals

✺

Side Effects of Sclerotherapy

✺

Other Side Effects Include:

There are milder effects, such as itching, which can last for one or two days after the procedure. Also, you may experience raised, red areas at the injection site. These should disappear within a few days. Bruising may also occur around the injection side and can take several days or weeks to resolve. • Larger veins that have been injected may become lumpy and hard and may require several months to dissolve and fade or might need needle aspiration to remove the painful clot. • Brown lines or spots may appear at the vein site. In most cases, they disappear within three to six months. • Neovascularization: the development of new, tiny blood vessels may occur at the site of Sclerotherapy treatment. These tiny veins can appear days or weeks after the procedure, but should fade within three to twelve months without further treatment. Should any of the following side effects occur, contact your doctor immediately. These include: • Inflammation within five inches of the groin • A sudden onset of a swollen leg • Formation of small ulcers at the injection site.

✺

Sclerotherapy Effectiveness:

Studies have shown that as many as 50%-80% of injected veins may be eliminated with each session of Sclerotherapy. Although this procedure works for most patients, the results are always variable and are somewhat unpredictable. In general, spider veins respond in three to six weeks and larger veins respond in three to four months. If the veins respond to the treatment they will not reappear. However, new veins may appear at the same rate as before. If needed, you may return for injections. Usually follow-up sessions are necessary for complete resolution.

I had bulging veins that were very painful….I was unable to walk or stand for long periods…. Dr. Girija Surya did VNUS Closure, Microphlebectomy and Sclerotherapy on my legs….Dr. and her staff are very attentive and personable…they make you feel comfortable and explain each procedure thoroughly…I returned to my normal activities within a day…since the procedure, I can stand and walk for long periods…my legs don’t feel swollen or heavy..there are no scars…color of my legs is better…My legs look better, feel better…I feel better too… Shelby from East Brunswick I had severe leg pain….I chose Dr. Girija Surya for her good reputation…she did VNUS Closure on my legs….”Time, Quality of Care, Friendly and Knowledgeable office staff” are some of the outstanding features of the medical care provided at the center …I returned to my normal activities the very next day of the procedure…since then I have no pain in my legs… Martha - Holmdel

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Testimonials:

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May/June 2015

Management

919 Financial Management

ally ally after after aa Divorce Divorce

A Retirement Income Roadmap For Women

Consider tax implications

In addition to your regular salary and wages, you may have new sources of income healthIfinsurance through your More women taking after your divorce, such are as alimony and/or childhave support. you are receiving alimony, it spouse’s employer? If not, you may of their willcharge be considered taxable own income to you. Child support, on the other hand, will have not be to consider COBRA or a private policy— considered taxable income. retirement planning than be expensive. Your taxbefore. filing statusWhat will also change. Filingwhich statuscould is determined as of the last day of ever does • You can begin receiving Social Security theretirement tax year (December 31). This means that even if you were divorced on December mean to you? retirement benefits as early as 62. 31, you would, for tax purposes, be considered divorced for that entire year. Whatever yourchildren, goals, you’ll youryou benefit may be 25%parent, Finally, if you have and dependingHowever, on whether are the custodial need a plantodesigned to credits andtodeductions—including 30% less than if you wait until full you may be eligible claim certain dependency retirement age. If you work part-time support the lifestyle you exemptions, the child tax credit, and the credit for child and dependent care expenses, during retirement, you’ll rely less on your risk deductions. alongenvision— with studentand loanminimize interest andthe tuition retirement savings. you’ll outlive your savings. Callthat Janney Montgomery Scott at 609-601-2509 or and 1=-800-346-1446 1-800-346-1446 • If you’re married, you’re both When will you retire? employed and nearing retirement, Establishing a target age is consider your retirements. If Tracy Fiedler-Santoro, First Vicestaggering President/Wealth importantin calculatingManagement how much you’ll of Marchel Group of more, oneWealth spouse Management is earning significantly needto save. Consider these factors: Janney Montgomery Scott LLC. can continue to work to that spouse • The longer you delay Tracy retirement, the offers personalized retirement andincome. wealth management solutions maximize longer you can build upto tax-deferred individuals, families and organizations. takes will a comprehensive HowShe long retirement with her clients, getting to know and understand them, and funds in your IRAs andapproach employerlast? then helping their goals. She has been with Janney sponsored plans, or accrue benefitsdefine in and prioritize A longer lifewealth means you’ll havefinancial more Montgomery Scott, a leading full-service management, a traditional pension plan. Medicare years of problem services, and investment banking firm,retirement since 2008.to Herfund. areasThe of expertise generally doesn’t start until you’re 65.guidance, retirement include financial solutions, estate planning, insurance, is particularly acute for women, who Does employer provide postandyour education savings, as well as mutual funds, equities, annuities, and trustthan services. also generally live longer men.Tracy To guard specializesmedical in investment strategies designed specifically for women. retirement benefits? Do you against outliving your savings, you’ll need

to estimate your life expectancy— experts base this on age, gender, race, health, occupation, and family history. With life expectancies on the rise, it’s best to assume you’ll live longer than you expect.

Project your expenses

One of the biggest mistakes you can make is to underestimate the amount you’ll need for retirement. You’ll hear that you need 70% to 80% of your pre-retirement income after you retire. However, this approach doesn’t work for everyone. Focus on your current expenses and whether they’ll stay the same, increase, decrease, or disappear by retirement. While some expenses may disappear, other expenses may increase as you age. And don’t forget to factor in inflation and taxes.

power if the return on your investments doesn’t keep up with inflation. It may be wise to maintain at least a portion in growth investments. ✓ Spend wisely. Don’t spend too much too soon. This can be a great temptation early on. A good guideline is to make sure your annual withdrawal rate isn’t greater than 4% to 6% of your portfolio. If you spend your principal too quickly, you may not be able to earn enough to carry you Identify your income sources through. What sources of retirement income ✓ Consider which assets to use first. will you have? Your employer may offer Generally, withdraw money from taxable a traditional pension that pays monthly accounts first, then tax-deferred accounts, benefits. Also, you can likely count on and lastly, tax-free accounts. By using your Social Security payments. Other income tax-favored accounts last and deferring sources may include a 401(k) or other taxes, you’ll keep more of your retirement retirement plan, IRAs, and other dollars. Also, you must generally begin investments. When you compare taking minimum distributions from your projected expenses to sources of retirement plans and traditional IRAs retirement income, you may find you when you reach age 70½. Plan to spend won’t have enough income to meet your these dollars first. needs. Closing this “gap” is important. If ✓ Consider an annuity. Annuities offer there’s a shortfall, you’ll have five options: something unique--a guaranteed income save more now, delay or work during stream for the rest of your life or for the retirement, to increase earnings on Consider taxtryimplications combined lives of you and your spouse. assets,tofind new sources of income, Inyour addition your regular salary and wages, you have new sources of income The may advantage is that you can use an spend less during retirement. afteroryour divorce, such as alimony and/or child support. you are alimony, annuity toIf lock in areceiving predictable annualit intoincome retirement will Transitioning be considered taxable to you. Child support, on theyou other hand, will not be income stream can’t outlive. Aftertaxable retirement, you’ll need to considered income. There’sis no “one-size-fits-all” it of carefully manage your assets that your Your tax filing status will alsoso change. Filing status determined as of thewhen last day retirement income planning. A retirement savings will last. the tax year (December 31). This means that evencomes if youtowere divorced on December financial professional can review your 31, you would, your for tax purposes, be considered divorced for that entire year. ✓ Review portfolio regularly. circumstances and help develop a plan Finally, youoften havetold children, andondepending on whether you are the custodial parent, Retireesifare to focus the that’s right for you. dependency you safety may be to claimSo certain of eligible their principal. some credits people and deductions—including exemptions, the child taxinvestments credit, and the credit for child609-601-2509 and dependent care expenses, shift to fixed-income as they Call or along withretirement. student loan and tuition enter Theinterest problem with this deductions. 1-800-346-1446. that you’ll lose purchasing Callapproach Janneyis Montgomery Scott at 609-601-2509 or 1=-800-346-1446 1-800-346-1446

Financial Management

919

Adjusting Adjusting to to Life Life Financially Financially after after aa Divorce Divorce There’s no doubt about it—going through a divorce can be an emotionally trying time. In addition to the emotional impact, however, it’s important to know how your financial position will be affected. You need to assure that your finances are on the right track, so you can start building a foundation for your new financial future.

You wouldn’t buy a car without a test drive. Assess your current financial situation

Why plan your retirement that way?

Following a divorce, you’ll need to assess your financial situation. You may likely lose your former spouse’s income and be solely responsible for expenses you once shared. a dozen in their lifetime. But you unlike cars, you Ultimately,The youaverage may findperson you’re buys no longer ablecars to continue the lifestyle had before only get one retirement, one chance to get an income plan that you will your divorce. drive the rest of your life.

budget people make smarter choices, Janney has developed the orEstablishToahelp Test Drive—a for you tocurrent sit in the driver’sincome seat of and your own Focus onRetirement establishing a budget thatway reflects your monthly retirement and personally test the feel and fit of particular plans to find the expenses. In addition to your regular salary and wages, include other types of income, best fit for you. You’ll drive away with a roadmap you can feel confident such as dividends about. and interest. If you’ll be receiving alimony and/or child support, include these payments also. Don’t jump into the first retirement vehicle you see. Get behind the wheel Divide expenses intoretirement two categories: fixeda and of your own and get real discretionary. sense of whatFixed worksexpenses for you today and down the road. Get started today! include things like housing, food, and transportation. Discretionary expenses include entertainment, vacations, etc. You may need to cut back on discretionary expenses until TRACY FIEDLER–SANTORO, CFA, AWMA® you adjust to living on less income. FIRST VICE PRESIDENT / WEALTH MANAGEMENT Reevaluate/reprioritize financial goals MARCHEL WEALTHyour MANAGEMENT GROUP

Tracy Fiedler-Santoro, First Vice President/Wealth Management of Marchel Wealth Management Group of Janney Montgomery Scott LLC. Tracy offers personalized retirement and wealth management solutions to individuals, families and organizations. She takes a comprehensive approach with her clients, getting to know and understand them, and then helping define and prioritize their goals. She has been with Janney Montgomery Scott, a leading full-service wealth management, financial services, and investment banking firm, since 2008. Her areas of expertise include financial guidance, retirement solutions, estate planning, insurance, and education savings, as well as mutual funds, equities, annuities, and trust services. Tracy also specializes in investment strategies designed specifically for women.

• MARCHELWEALTHMANAGEMENT.COM While you 800.346.1446 were married, you may have set certain financial goals with your spouse. Now that you’re on your own, these goals may have changed. Start by making a list of ge WWW. JANNEY.COM • © 2015 JANNEY MONTGOMERY SCOTT LLC • MEMBER: NYSE, FINRA, SIPC things you wish to achieve. Do you need to save more for retirement? Would you like to save for a new home? Reprioritize your financial goals as well. After your divorce, goals you hadwww.TheCountyWoman.com shared The County Woman Magazine ountyWoman.com January/February 2015 with your spouse may no longer be important, while others become far more important untyWoman.com March/April 2015

May/June 2015

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Medical edical P Professionals rofessionals M M edical P rofessionals Medical edical Professionals M Professionals March Is National Colorectal Cancer Awareness Month Making Sense of A Complicated Condition: Here’s What You Should Know: How To Prevent And Treat Colorectal Cancer March Is National Colorectal Cancer Awareness Month alization of the inside Here’s What You Know: How To Prevent And Medications Treat Colorectal Cancer How common is colorectal cancerShould and who is at risk? incontinence from theofdiarrhea. can be administered 1 Inflammatory Bowel Disease H ealth &W ellness colonofand rectum. Colorectal cancer is the secondcancer most common cancer the H tothe control the disease Colitis. alization theactive inside ofA associated with Ulcerative How common is colorectal andby who is atinDisease risk? ealth &W ellness Over two million individuals are affected Crohn’s or colonoscopy is a safe, painThis may keep patients from requiring hospitalization. The the colon and rectum. A United States among both men and women. It affects 140,000 Colorectal cancerThese is thetwo second mostare common in the Health &Wellness Ulcerative Colitis. diseases knowncancer as Inflammatory less, outpatient procedure colonoscopy is a safe, painmost commonly dispensed medications are antibiotics and antipeople annually and causes 50,000 deaths. The average person has a United States among both men and women. It affects 140,000 L Law aw Law

Bowel Disease (IBD). IBD can attack both the small and large performed under a lightIf those medications fail, your physician less, outpatient procedure one in 20 chanceand of developing colorectal in his/her lifetime. agents. people annually causes 50,000 deaths.cancer The average person has a inflammatory intestines. The large intestine is comprised of the colon and sedation. Most patients This increased if there is acolorectal family history of colorectal polyps performed under a light (steroids), immunomodulators and may prescribe prednisone one inrisk 20ischance of developing cancer his/her lifetime. rectum and theissmall intestine is in made uppatients of theinwith jejunum and the undergo a Most gentlepatients oral bowel or cancer, and even higher still those a history of sedation. amino salicylates. Immunomodulators can be used to maintain This risk is area increased ifintestine there is a can family history ofwith colorectal polyps ileum. Any of the be affected IBD and the prep/cleanse in preparation undergo a gentle oral bowel breast, uterine or ovarian cancer, and patients with a history of extenthe disease for a longer period of time. or cancer, and higher in those patients to with a history of for a colonoscopy. A narof is theeven disease canstill vary from patient patient. NinaPaonessa, Paonessa,DO, DO,FACOS, FACOS, distribution Nina prep/cleanse in preparation sive inflammatory bowel disease such as ulcerative colitis or Crohn’s breast, uterine or ovarian cancer, and patients with a history of exten- row, an established colorectal surgeon flexible tube with a an established colorectal Nina Paonessa, DO, FACOS, forOccasionally a colonoscopy. A narcolitis. Although colorectal cancer may at any age, or more than patients can experience flare ups. In order to sive inflammatory bowel disease such as occur ulcerative colitis Crohn’s practicing in Ocean County, lighted camera on its tip from the rectum to the beginning practicing an surgeon established colorectal in surgeon 90% of Although patients diagnosed with colorectal cancer are age, over more age 40than control row, flexible tube with a is passed the disease, a doctor may increase a patient’s medication colitis. colorectal cancer may occur at any answers questions about colCrohn’s Disease Monmouth County practicing in Ocean County, of the colon, calleditsthetipcecum. Biopsies of any growths tumors and this risk doubles every ten Translated, this means camera is passed from the rectum to not theorbeginning 90% of patients diagnosed withyears. colorectal areages over agethat 40 a orlighted may even addonnew medications. If the flare up is orectal oneabout ofregarding the colleadCrohn’s Disease is commonly found incancer patients 16-40, answerscancer, questions discusses the basics seen can be done at this time and provide the definitive diagnosis. of the colon, called the may cecum. of any growths or tumors person’s risk for developing ten colorectal Translated, cancer increases means significantly andcan thisalso riskbe doubles that a controlled, the needBiopsies to be hospitalized in order to rest ing cancers in both and but foundevery to affect years. other ages as well.this This disease Based upon thepatient findings on colonoscopy, your colorectal surgeon or orectal cancer, one ofmen the leadInflammatory Bowel Disease. seen can be done at this time and provide the definitive diagnosis. with age. person’s risk for developing colorectal cancer increases significantly the bowel and administer steroids intravenously. women. ing cancers in both men and other specialist may recommend other testing such as blood work, is only known to be approximately 20% genetically transferred Based upon the findings on colonoscopy, your colorectal surgeon ora with age. What causes colorectal cancer? women. CT scan of the abdomen and pelvis, pelvic MRI and/or ultrasound. Dr. Paonessa specializes in from a family member who has been diagnosed with some form other specialist may recommend other testing such as blood work, a It is generally agreed that nearly all colon and rectal cancer begins Surgery may be required for patients suffering from chronic What causes colorectal cancer? the Dr. evaluation and treatment of IBD. Crohn’s Disease has several symptoms such as abdominal The best of waythetoabdomen diagnose and polyps and pelvic early colorectal cancers is to Paonessa specializes in CT scan pelvis, MRI and/or ultrasound. of withand colon and of the disease or from life threatening conditions of in benign polyps,anal called adenomas. These polyps, It cramping, is generally agreed that nearly all colonpre-malignant and rectal cancer begins forms pain, pain, joint pain (arthritis), unexpected undergo routine screening colonoscopy. thepatients evaluation treatment The best way to diagnose polyps and early colorectal cancers is to rectal conditions/ diseases or occur called indiarrhea. the adenomas. wall of the may colon and/or rectum and may IBD such as massive bleeding, perforation or infection. Before in growths, benign Theseaccompany pre-malignant polyps, of patients with colon andand weight loss,polyps, and/or Fever these undergo routine screening colonoscopy. How is colorectal cancer treated? eventually sizewall andofbecome cancer, or medically speaking, frequently performs laparo-and becoming a candidate for surgery you must have tried medication or growths,increase occur ininthe the colon and/or rectum and may rectal conditions/ diseases symptoms. Nearly all cases of colorectal cancer require surgery. Radiation and How isand colorectal cancer treated? scopic surgery for herlaparopatients. carcinoma. This is in known as the “adenoma-carcinoma sequence”. experienced no improvement. Patients that suffer for eventually increase size and become cancer, orcause medically speaking, therapy frequently performs There is no cure for Crohn’s Disease and its is still chemotherapy are sometimes required in addition to of surgery. If the She also offers conservative and Several factors have been mentioned in the literature that may Nearly all cases of colorectal cancer require surgery. Radiation and years with Ulcerative Colitis have an increased risk developing scopic surgery for her patients. unknown. carcinoma.Several This istheories known as thecentered “adenoma-carcinoma sequence”. have on the immunological minimally invasive treatment cancer is diagnosed and treated in the earliest stages, approximately chemotherapy are sometimes required in addition to surgery. If the increase a person’s risk for developing colorectal cancer and include: large bowel (colon) cancer. Definitive surgery for Ulcerative She also offers conservative and system, Several which factors ishave mentioned in the literature that may the been body’s defense system, or possible 80-90% patients and are restored to the theirearliest normal health. The cure options for many common ano- age, a diet cancer isis of diagnosed treatedthis in stages, approximately high in fat and cholesterol, an inactive/sedentary lifestyle, Colitis minimally invasive treatment curative for treating form of IBD. It is very increase a person’s risk for developing colorectal cancer and include: bacterial causes. Although there is currently no cure for rate decreases to 50% or less when the cancer is diagnosed in cure the rectal disorders. She frequently smoking and exposures. 80-90% oftopatients restored to theirwith normal The options for many common ano- obesity, discussare surgical options yourhealth. colorectal surgeon age, a diet high inmedication fat environmental and cholesterol, an inactive/sedentary lifestyle, important Crohn’s Disease, can be administered to treat early explains to her patients that later/advanced stages. or Less than 5% ofcancer all colorectal cancerinpatients rate decreases when diagnosed rectal disorders. She frequently What are thetemporarily symptoms of colorectal cancer? obesity, smoking and environmental exposures. because timingtoof50% surgeryless and the the procedure ischosen are verythe “just because I am a surgeon, onsets and/or relieve the pain and symptoms require a colostomy or “bag”, thanks to modern technology. Dr. explains to her patients that later/advanced stages. Less than 5% of all colorectal cancer patients to each patient. Unfortunately, polyps and early cancers docancer? notdispensed produce any physi- important What are the symptoms of colorectal associated with the illness. The most commonly doesn’t mean everyone needs Paonessa prides herself in being able to maintain this standard of care “just because I am a surgeon, require a colostomy or “bag”, thanks to modern technology. Dr. cal Unfortunately, signs or symptoms. Therefore, symptoms usually indicate late or in her own practice. Not only is she able to minimize the number surgery. There are other options medications are corticosteroids, anti-inflammatory agents, and polyps and early cancers do not produce any physidoesn’t mean everyone needs Paonessa prides herself in being ablearetoserious maintain this standard of care advanced The most common symptoms of colorectal Crohn’s and Ulcerative Colitis diseases that require Isurgery. can offer you.” Paonessa colostomies/”bags” created for her able patients, but she the performs a cal signs ordisease. symptoms. Therefore, symptoms usually indicate cancer late or of There areDr. other options immunosuppressants. in her own practice. Not only is she to minimize number are rectal bleeding and changes in bowel habits such as constipation a patient to be closely monitored and to schedule preventative has been named Proctologist advanced The most symptoms of colorectal cancer majority In somedisease. cases surgery maycommon be needed if the condition becomes of her colorectal cancer surgeries usingbut laparoscopic sur-a I can offer you.” Dr. of colostomies/”bags” created for her patients, she ifperforms Board-certified in Paonessa general testing to limit his/her risk ofsurgery cancer. Make sure that yousurgery are or These and symptoms insurgery, many of Yearnamed by theProctologist American arediarrhea. rectal bleeding changes incommon bowel habits such other assoconstipation severe or complicated. Not allare cases require it disorders is best hasthe been gery. Laparoscopic colorectal is a minimally invasive majority of her colorectal cancer surgeries using laparoscopic surof the gastrointestinal tract so it is very important to have a thorough experiencing any or all of the symptoms discussed above, that you College of Osteopathic surgery and proctology Board-certified in general toorschedule diarrhea.a These symptoms many other disorders of the Year by the American consultation witharea common colorectalinsurgeon. A colorectal in which small incisions are made to perform major surgery. gery. Laparoscopic colorectal surgery is a minimally invasive This surgery Proctologists, awarded the examination should you experience them. NOT ALL RECTAL appointment your physician and apain colorectal and a fellow of the allows foran shorter hospitalarewith stays, incisional andThis earlier of the gastrointestinal it is very important to have thorough schedule College ofand Osteopathic surgery proctology surgeon in conjunctiontract withsoyour gastroenterologist can abest in which small incisions madedecreased to perform major surgery. BLEEDING IS DUEyou TOexperience HEMORRHOIDS. ItALL is very important surgeon Patient’s Choice Award and promptly. American College of Proctologists, awarded the return to work and other activities. examination should them. NOT RECTAL determine treatment for each individual case. and a fellow of the allows for shorter hospital stays, decreased incisional pain and earlier for patients toISremember this and seek evaluationItifisthey are expethe Compassionate Doctor’s Patient’s Choice Award and BLEEDING DUE TO HEMORRHOIDS. very important Osteopathic Surgeons, Can be prevented? American College for of six returncolorectal to work andcancer other activities. Award by Vitals.com riencing rectal bleeding. Other symptoms such as ifabdominal pain the Paonessa Compassionate Doctor’s Dr. Paonessa is a fellowship trained colorectal surgeon who for patients to remember this and seek evaluation they are expeDr. specializes consecutive years, andfor is on Osteopathic Surgeons, Colorectal cancer is one of cancerspatients that is preventable. Can colorectal cancer bethe prevented? and weight lossbleeding. are usuallyUlcerative late symptoms and possibly indicate Award by Vitals.com six the has over ten years of experience infew treating with IBD. riencing rectal Other symptoms suchquite as abdominal pain Colitis HealthGrades Honor Roll. Obtaining a screening colonoscopy at regular intervals is the single in colon and rectal Dr. Paonessa specializes Colorectal cancer is one of the few cancers that is preventable. consecutive years, and is on the advanced/extensive disease. She is experienced in the ongoing maintenance care and surgical and weight loss are usually late symptoms and quite possibly indicate Another form of IBD is Ulcerative Colitis (UC). This causes best way to prevent colorectal cancer. Your colorectal surgeon or surgery. She been in in colon andhas rectal Board-certified in generHealthGrades Honor Roll. Obtaining a screening colonoscopy at regular intervals is performs the single advanced/extensive disease. care of patients with IBD. Additionally she frequently How is colorectal cancer diagnosed? inflammation of the lining of the large intestine (colon and/ specialist is able to review the guidelines for colorectal screening surgeon colonoscopy practice for 10 years. al surgery proctolobest way to prevent colorectal cancer. Your or surgery. She hasand been in Board-certified in She gener(minimally invasive surgery) for those patients who orHow rectum). The for developing Colitis occurshis- laparoscopic Evaluation of onset colorectal cancer is firstUlcerative begun with a complete is colorectal cancer diagnosed? gy and a fellow of the American Although based upon your age, medical history and family history. specialist is able to review the guidelines for screening colonoscopy al surgery and proctolocompleted her colon and practice 10 years. She surgery proven, for IBDstudies and who are candidates for this type ofadditoryEvaluation and physical exam, athe digital rectal exam and possibly College offor Osteopathic during two stages of life:including between of 15 to a30 and of colorectal cancer is firstages begun with complete his- require not definitively published in family the literature gy and surgery a fellow offellowship the American Although based upon your age, medicaloffice history and history.mention rectal testing the stool for blood. A colonoscopy is the most definitive test completed colon and Surgeons, Dr.her Paonessa specialsurgery. Call Dr. Paonessa’s today for a consultation if you between ages of 70 toincluding 80. Likea digital Crohn’srectal Disease, of tory andthe physical exam, examthe andcause possibly tional factors that may lower your risk of developing colorectal cancer College of Osteopathic not definitively proven, studies published in the literature mention addiizes in colon and rectal surgery. used to diagnose colorectal cancer. A colonoscopy is performed by at Lehigh Valley Hospital experiencing anya high of thefiber, above symptoms or have IBD rectal surgery fellowship Ulcerative is blood. unknown. and include: eating low fatofdiet, maintaining a and testing theColitis stool for A colonoscopy is the most definitive test are Surgeons, Dr. Paonessa specialtional factors that may lower your risk developing colorectal cancer She has beenValley in practice foris9 aused colorectal surgeon othercancer. specialist inare order to get aCrohn’s direct visurequire management. in Allentown, PA. She healthy weight, and engaging in regular, exercise. a Thetosymptoms oforUlcerative Colitis similar at Hospital izesLehigh in colon and rectal surgery. diagnose colorectal A colonoscopy istoperformed by and include: eating a high fiber, low fat vigorous diet, maintaining years. She completed her colon co-editor of the textbook She has been in practice for 9 Disease and include: abdominal pain, in diarrhea, loss, visua colorectal surgeon or other specialist order toweight get a direct in Allentown, PA. She is healthy weight, and engaging in regular, vigorous exercise. and rectal surgery fellowship Call For732-282-1500 An Appointment, Call For An Appointment, years. She Treatment completed her colon fever, and/or rectal bleeding. Some patients may even experience Surgical at Lehigh Valley Hospital in Client co-editor of the textbook and rectal surgery Call For An ... Appointment, 732-282-1500 Allentown, PA. fellowship of Hemorrhoids, 2nd Testimonials Surgical Client Client Testimonials at Lehigh Treatment Valley Hospital in She is co-editor 732-282-1500 edition. Dr. Allentown, PA.Paonessa of Hemorrhoids, 2nd Testimonials ... Nina J. Paonessa, DO, FACOS “Dr. Paonessa is simply bestaofskilled the best! of the textIn addition tothe being surShe is co-editor believes in patientClient Testimonials Colon and Rectal Surgery edition. Dr. Paonessa She is very skilled and knowledgeable with book Surgical Nina J. Paonessa, DO, FACOS of the text-care Inmeasures addition toPaonessa being a isskilled surDoctor so caring, Josephine B.geon, centered and Josephine B. Treatment Board in General the added of compassion and believes inof patientClient Testimonials ColonCertified and Rectal SurgerySurgery and Proctology book Surgical “After I had a colonoscopy and found out I had colon “After I hadgeon, a colonoscopy and foundand had colon Doctor Paonessa isIIso caring, Hemorrhoids, compassionate and attentive, I out felt like she kindness....I am a retired RN am so Josephine preserving patient’s centered care and Treatment of each Board Certified in General Surgery and Proctology cancer, myB.primary primary physician physician recommended recommended II see see Dr. Dr. cancer, my 2nd edition. 2101 Route 34 South, Suite H • Wall, NJ 07719 grateful for only the wonderful careI and shea “After I had colonoscopy found out Ihelp hadbut colon compassionate and feltgoing like she was my good friend. Ian considered to independence, being Hemorrhoids,eachwell Paonessa. Nota only is she sheattentive, anand excellent surgeon, preserving patient’s Paonessa. Not is excellent surgeon, but Dr. cancer, mya primary physician recommended I see Dr. hassuch given to me as herperson patient.” 2101 Route 34 Suite H M-F • Wall, NJto07719 2ndPaonessa edition. Shewell she’s compassionate as well. well. would she’s such agood compassionate person as II Paonessa, would 732-282-1500 • South, Office Hours: 9AM 5PM was my friend. I considered going to a New York hospital until I met Dr. and dignity. provides independence, being Paonessa. Not only is she an excellent surgeon, but believes in -Christine, recommend Dr.Jackson, Paonessa NJ to anyone anyone and and everyone.” everyone.” Dr. Paonessa recommend Dr. Paonessa to she’s because such a compassionate person astowell. would 732-282-1500 • Office Hours: M-F¢ to 5PM the latest, up-to-date patient-cenNew York hospital I met Dr. and dignity. She provides but of her Iuntil decided stayI Paonessa, local ¢ laparoscopic surgery surgery ¢9AM colonoscopy believes ¢ laparoscopic colonoscopy tered careinandand preserving each recommend Dr. Paonessa to anyone and everyone.” treatments tailors ¢ abdominal/pelvic surgery ¢ anorectal surgery “Dr.because anI exceptional Patricia E. glad ¢ surgery ¢ surgery the latest, up-to-date patient-cenPatricia E. but of is her decided to colorectal stay localgood and I Paonessa am I did. I can’t say enough ¢ abdominal/pelvic laparoscopic surgery ¢ anorectal colonoscopy patient’s independence, well ¢ fecal incontinence ¢ pelvic floor disorders disorders “Isurgeon. credit Dr. Dr.IfPaonessa Paonessa for saving saving my life. life. Her you want a doctor who you ¢ fecal incontinence ¢ pelvic floor tered care and preserving each “I credit for my Her each plan of care to the treatments and She tailors ¢ endoanal/rectal abdominal/pelvic surgery ¢ office anorectal surgery Patricia E. glad being and dignity. provides and Itrust, am Ilistens, did. Iwho can’t saymade good things about Dr. Paonessa, and Ienough highly rec¢ ultrasound ¢ proctology thoroughness and attention to detail made the who ¢ endoanal/rectal ultrasound ¢ office proctology thoroughness and attention to detail the patient’s independence, well can who truly cares, individual patient’s needs. ¢ fecal incontinence ¢ pelvic floor disorders “I credit Dr. Paonessa for saving my life. Her each plan of care to the the latest, up-to-date treatments ¢ anorectal anorectal manometry/physiology manometry/physiology difference for myDr. recovery. I’ve never metIfor a doctor doctor like ¢ things about Paonessa, and recdifference for my recovery. never met ahighly like ommend her tothen everyone know. being and dignity. She provides can help you, sheI’ve is one you!” ¢ endoanal/rectal ultrasound ¢ office proctology thoroughness and attention to Ithe detail made the and tailors each plan of care to her—so attentive and caring.” Call 732-282-1500 individual patient’s needs. her—so attentive and caring.” the latest, up-to-date treatments -Marianne, Toms River, ¢ anorectal manometry/physiology difference for I’veNJ met a~doctor likeS. ommend hermy torecovery. everyone Inever know. Marie the andindividual tailors eachpatient’s plan ofneeds. care to Call 732-282-1500 her—so attentive and caring.” ~ Marie S. the individual patient’s needs. www.TheCountyWoman.com The County Woman Magazine March/April 2014 www.TheCountyWoman.com The Magazine County Woman Magazine www.TheCountyWoman.com January/Feb The County Woman May/June 2015 www.TheCountyWoman.com The County Woman Magazine January/Feb The County Woman Magazine March/April 2015 www.TheCountyWoman.com www.TheCountyWoman.com The County Woman Magazine March/April 2014

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Paonessa Colon and Rectal Surgery, P.C. Paonessa Colon and Rectal Surgery, P.C.

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March is National Colorectal Cancer Awareness Month March is National Colorectal Cancer Awareness Month

Medical Professionals

Big Data: Taking the Pain ANS. OUR PATIENTS TO A HGUIDING ealth &W ellness HIGHER LEVEL OF HEALTHCARE. Out of Medical Decisions Law

You go into a doctor’s office. You’re sick … and scared. Will the doctor deliver good news or bad news? Will he be nice and approachable … or distant and too technical? How will you know if you’re making a good decision about your treatment – or a bad one? How will you pay for it? The list goes on. In business, most corporations rely on “Big Data” to make decisions. And now patients like you can too.

Elder Law

Theater &Entertainment

Atlantic NeuroSurgical Specialists (ANS) is bringing “Big Data” to its patients who need brain, spine and neurovascular surgery. Unlike other medical practices that just started collecting data due to Obama Care requirements, ANS has been collecting data for the past four years. As a result, ANS is helping its patients make sound medical decisions based on real nationwide results.

Fine Art Photography

According to Kathleen Loria, director of operations at ANS, “ANS is known for its cutting-edge approach to medical therapies, business practices and patient care. So it’s no surprise we’re ahead of the curve in using data to help drive treatment decisions.” ANS catapulted into data thanks to the interest of its own Dr. John Knightly, who serves on the spine executive committee of the American Association of Neurological Surgeons – Congress of Neurological Surgeons. The organization launched the first national neurosurgical clinical registry, the “National Neurosurgical Quality Outcomes Database.” The registry collects and analyzes clinical data used to measure the quality and efficacy of common spinal and neurosurgical procedures.

Education

And, ANS is playing a key role in this initiative.

“We are gathering information on individual patients so we can identify the areas of clinical practice that are most successful,” Loria explains. “This powerful tool helps us identify the right treatment for the right patient at the right time.”

This type of high-level collaboration and multidisciplinary approach to surgery and care doesn’t happen everywhere, but it does happen here. New Jersey’s largest neurosurgical practice consists of board-certified neurosurgeons, all of whom are fellowship-trained in their specialties including spine, brain tumors and endovascular care. Our neurosurgeons are afforded an unparalleled ability to focus on their sub-specialties. Because of this, our specialists can offer the rarest of treatment options and are the most qualified to provide an accurate diagnosis. Additionally, Atlantic NeuroSurgical Specialists (ANS) handles the most minimally invasive spine surgery cases in the state. This advancement in surgery is allowing patients to reap the benefits of smaller incisions and quicker recovery times. We are highly specialized, nationally renowned, and are among the very best practicing medicine.

Business &Finance

Data is collected before surgery and then one, three and 12 months afterwards. All data is strictly confidential and handled according to federal guidelines for the protection of personal healthcare information. The results speak for themselves.

Don’t let insurance come before your health. Ask to speak with our insurance counselor. For more information, visit www.ansdocs.com.

“We are changing the way we treat patients based on the data,” Loria details. “Take herniated disc, for example. Before now, all patients with herniated discs were treated similarly. Now, we can tailor a specific treatment to a woman who not only has a herniated disc, but diabetes and osteoporosis as well – all based on national outcomes. “We are very encouraged by the value ‘Big Data’ brings to brain, spine and neurovascular surgery,” Loria concludes. “This holistic approach to patient care is revolutionizing treatment. We look forward to continuing to work with our patients to assess their responses to treatments, improve the high-quality care we provide and contribute to the advancement of neurosurgical care nationwide.”

3700 Route 33 Neptune, NJ 07753 732.455.8225 11 Overlook Road Suite 180 Summit, NJ 07901 908.516.2941

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A Trailblazer Among Trailblazers: Kathleen Loria and Atlantic NeuroSurgical Specialists Continue Soaring to New Heights

athleen Loria, the new director of operations at Atlantic NeuroSurgical Specialists (ANS), has been involved in the care of patients requiring brain, spine and neurovascular surgery for years. Having served as director of finance at ANS since 2002 – a role she still maintains – she has a deep understanding of what patients and their families face. And, she has a deep level of compassion for them. That compassion – along with her strong business acumen and experience – is what motivates Kathleen to bring cutting-edge patient and business practices to ANS every day. “Since our founding in 1958, ANS has been known as a trailblazer – not just in medical therapies, but in our approach to patients and the care of their physical, emotional and financial wellbeing,” she notes. “Our goal is to continue pushing the envelope, doing what’s best for our patients and delivering the gold standard in patient and customer care.” Kathleen is a CPA and active member of several professional accounting and healthcare management associations. As a wife and mother of seven daughters, she is uniquely qualified to bring the highest level of care and compassion to the office every day.

How did you become involved in the field of neurosurgery?

As a CPA, I had been in public accounting before starting my own firm in 1993. I acquired ANS as a client in 2000 and worked as a consultant before coming onboard full-time in 2002. As director of finance, I was responsible for running the financial side of the practice. That exposed me to every element of the business – from the cost of copier paper … to helping patients through the maze of insurance, new treatments and everything in between. Today, as director of operations at ANS, I manage the operations of the practice in addition to the finances. This broadened scope of responsibility enables me to get further involved in all aspects of the practice – including initiatives like “Big Data,” patient support groups, and bringing added value to our patients.

What is the most rewarding part of your profession? What is the most challenging?

For me, the advances that have been made – and continue to be made – in brain, spine and neurovascular surgery are the most rewarding. ANS, nationally known to be at the forefront of the latest medical technologies, plays a significant role in those advances. It’s incredibly fulfilling to be on the cutting edge of new treatments and seeing how they change the lives of patients. Our doctors are involved from initial inception … through trials and mainstream use.

Kathleen Loria (far right) and medical staff at ANS wear grey to honor brain tumor patients.

ANS is also known for its progressive business practices. I enjoy being a part of and witness to the results of this kind of innovation, too. In the case of data, for example, using national results to tailor the right treatment for the right patient at the right time is a game changer. The most challenging part, on the other hand, is that many people don’t know about all of the advances in the field of neurosurgery … so they can’t benefit from them. That’s why ANS is committed to patient education. We actively disseminate information to empower patients and their families to make the best decisions about their care. Currently, for instance, we are talking to the public about the most important question to ask regarding stroke: “What more can be done?” By asking this question to the right medical team, there often is more that can be done when told, “He suffered a stroke. There’s nothing more we could do.” But if the question isn’t asked, that option is off the table.

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Featured On The Cover

What sets Atlantic NeuroSurgical Specialists apart from others in the industry?

ANS is unique in many ways. You can experience our distinctiveness throughout our practice, starting with our staff of more than 60 across our six offices. Each staff member is hand-picked based on his/her affinity to advanced thinking, pushing the frontier, and compassion. Our uniqueness spreads to our spa-like offices designed to help calm our patients and their families. You experience it in our commitment to patient-driven care and best-in-class, concierge customer service … our internal (not outsourced) billing department that hand-holds patients from the very beginning … and our 16 physicians, several nurse practitioners, physician assistants and other medical support staff who are focused on bringing the latest treatments, innovations and advances to our patients. In addition to running private support groups and being active in local and social media, we have a foundation – the ANS Center of Hope Foundation. I am honored to sit on the board and serve as the treasurer of this organization that helps brain tumor patients of all ages and walks of life. This volunteer group offers transportation to doctors’ appointments, prepared meals, child care, grocery shopping, additional counseling and more.

What motivates you on a daily basis?

I’m always looking for a challenge. I’m always looking for efficiencies, and I’m always looking for inspiration. I find this every day at ANS. We are a progressive practice that is willing to invest the time, money and energy to go to the next level – be it on an operational or medical level. That quest constantly presents me with challenges, the opportunity to create efficiencies and inspiration.

How do you like to spend your time away from the office? Favorite leisure activities?

My favorite leisure activity is my family. With my husband, our family of seven daughters and our female dog, I keep very busy. Our girls range in age from 14 to 28, so we are involved in all kinds of activities. I am treasurer of our high school athletic booster club and an avid runner. Plus, I love to read. Professionally, I am a member of several organizations including the American Institute of Certified Public Accountants, New Jersey Society of Certified Public Accountants, Healthcare Financial Management Association and Medical Group Management Association.

What words of advice do you have for other women?

I believe women can successfully compete in the marketplace. I’ve experienced that personally. In my past, I worked on large corporate accounts at CPA firms. I served as controller of a real estate management firm in New York City before starting my own firm when I had children. Initially, for my current position as director of operations here, the group wanted to hire an experienced COO with an MBA. They recognized, however, that my diverse professional experiences, tenure here, immersion in every element of the practice and compassion brought more value to our patients and staff than a newcomer with set credentials. I tell women – especially those just starting out: make good decisions, work hard, always do the right thing, go above and beyond, keep marching forward … and you will succeed.

310 Madison Avenue Suite 300 Morristown, NJ 07960 973.285.7800

11 Overlook Road Suite 180 Summit, NJ 07901 908.516.2941

2345 Lamington Road Suite 107 Bedminster, NJ 07921 973.285.7800

3700 Route 33 Neptune, NJ 07753 732.455.8225

89 Sparta Avenue Sparta, NJ 07871 973.729.0266

464 Hudson Terrace Suite 203 Englewood Cliffs, NJ 07632 973.285.7800

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Alzheimer’s Care Community If any of these symptoms become worse, make an appointment with your doctor, who may recommend medication or counseling. If your forgetfulness is a normal response to stress, a major life change, or depression, your memory should improve as you begin feeling better. Signs of a serious memory concern like Alzheimer’s or dementia may include: • • • • • •

Did You Misplace Those Car Keys – Again?

Repeatedly forgetting appointments, events, or names of family or friends. Finding it extremely difficult or impossible to complete everyday tasks that used to be easy, like driving to a familiar location. Confusion with time or place. Withdrawal from social activities and work. Difficulty having a conversation or trouble remembering the words for everyday objects. Neglecting personal safety, nutrition, and cleanliness.

If you’ve experienced some of these signs, or you have concerns about your memory, reaching out to experts in the field may be wise. “We have had inquiries from family members asking questions about mom’s forgetfulness. We encourage them to make an appointment with their doctor, but they know we are here if they even want a shoulder or just need to vent.” Says Maria Nadelstumph, Vice President of Organizational Development & Program Excellence at Brandywine Senior Living.

There’s a difference between misplacing your glasses or keys and more serious memory impairments that can disrupt your daily life.

Brandywine Senior Living offers a special memory care program called Reflections. Their philosophy is not only geared to residents but also to family Forgetfulness can be normal, and in many situations, not be a cause for concern. members. Brandywine knows from experience that providing quality care is only successful when you involve the families in all aspects of care - from care Stress, anxiety, and depression can also cause memory problems. conferences, daily communication, support groups, and family gatherings. There are some reasons for forgetfulness that shouldn’t be cause for concern: Maria encourages families to contact her even at the beginning stages when • Forgetting appointments once in a while, but remembering them later. they just want more information. “Navigating through dementia and other • Making occasional mistakes when doing an everyday task. Alzheimer’s related diseases can be overwhelming. I feel good knowing that I • Occasionally misplacing items. can help families make choices, and give them the guidance they may need.”

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“I think he’s married.”

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MB edical Pro essionals usiness Sfpotlight

25 33

~ Interview with Cyrus MDTo ~ Know Radiologists: The Doctor You Khorrami, Should Get



What is unique about the family owned radiologist business, I recently learned of an interesting statistic. A survey was Toms river X-ray CT & mri Center? conducted Miami, Florida and Burlington, Vermont where Large corporations orin hospitals run most radiology practices. Ours is a family run practice, which is random asked ismother that has a radiologist does. very unusual in people radiology. Mywere father founded ourwhat practice.itMy been the office administrator for many years. I serve the medical As with any are family run business, we take pride in Greater then 40 percent ofas people didn’t director. know radiologists doctors. what wethis, do and work hard to provide the very best service possible.told For me us, when comes provid Hearing I was reminded of a story. My friend in residency whenithe first to decided best of care our patients, is noleaving detail too small. We deeply caretoforfixourradios. patients, many to go ing intotheradiology, histofather thoughtthere he was medicine and wanted of whom since 1981. We strive tomay treatknow all of our patients like theyspecialty are a Although thishave may been seemwith sillyour to practice some people, not everybody about the medical part of our family. of radiology. I will answer some of the most frequently asked questions about radiologists.

Experience & Expertise You Can Count On!

as the medicaldoctors? director, how would you describe the many different services Are radiologists

Deer Chase Professional Park 154 Route 37 West Toms River, NJ Phone: 732-244-0777 www.tomsriverxray.com

Toms river X-ray CT & mri center provides for its patients?

Radiologists are medical doctors who specialize in diagnosing and treating disease and injury by Our office has as all the equipment one would find in any top-level academic hospital. Our services usinginclude medical imaging techniques such as X-Rays, MRI, CT, Mammography and Ultrasound. ultrasound, x-ray, fluoroscopy, bone density, nuclear medicine, CT, MRI, mammography,

What of(for training and education does aofradiologist need to complete? andkind PET/CT cancer diagnosis as well as diagnosis Alzheimer’s disease).

A What radiologist must graduate from an accredited schoolyour and business? pass a licensing is a common misconception peoplemedical have about examination. After medical school, they complete a four to five year training program called due Some people believe that radiology tests are long and uncomfortable and potentially dangerous a residency. A residency focuses on a specific medical education in such fields as quality to the use of radiation. However with modern equipment and techniques, today’s procedures are fast, interpretation of medical and radiation safety. For additional comfortable, and very imaging safe. Not examinations all radiology exams use radiation to obtain the images.training, As for themany radiologists also do often a fellowship-one two aadditional of specialized exams that use complete radiation, the levels received to during single test years are negligible and nottraining-in dangerous. a particular subspecialty of radiology, such as breast imaging, cardiovascular radiology, or Please describe the education and skills of the radiologists at Toms river nuclear medicine. X-ray CT & mri. Why is it important to note that radiologists are doctors? If Radiologists you take into years ofspecialize undergraduate education, the average radiologist has areaccount medicalfour doctors who in diagnosing and ultimately directing the treatment disease and injury by using medical imaging techniques such as X-rays, CT, MRI, mammography, more ofthan 13 years of training. and ultrasound. Radiologists are type expertsofincertification anatomy and the Idiagnosis disease. In order to comDo radiologists receive any shouldofask about?

municate with colleagues (surgeons,bypediatrics, OB/GYN, etc.),ofthe radiologists have to be as Radiologists aretheir usually board-certified the American Board Radiology after passing knowledgeable as the specialists referring to them. three rigorous examinations. Additionally, the equipment in a radiologist’s office is certified by the In order to provide the very best care, we must have the very best doctors in our office. All of our American College of Radiology. This assures obtaining the highest quality of images at the lowest radiologists are highly trained and have many years of experience. Almost all of our radiologists have possible radiation dose. advanced subspecialized training from top academic centers. This allows us to provide the type of

What does a seen radiologist actually do? quality care at any university hospital while allowing us to provide the personal attention and

Radiologists playofan important role in your health care in several different ways. First, they level of service a family run business. act ashow an expert consultant your with referring doctor who sent you to to the radiology do you work as to a team otherphysician specialty(the doctor groups in order centersolve for testing). Theyhealth will aid him or her in choosing the examination that fits your needs. Then a patient’s complaint? the radiologist assist bytogether interpreting the resulting recommending further All doctorswill should work as a team to providemedical the very images best andand most complete care for every The more I know about our patients’ medical histories, their current symptoms, and the conscans patient. or treatments when necessary. cernsreferring their doctors may say have, the have morereviewed accurate Ithe canradiology be when interpreting a study. That why I When doctors they scans and reports, theyisusually very gone close over relationship with mostthe of study the doctors thisradiologist. area. Most of the referring physicians meanhave theyahave and discussed with inthe private phone number and often call with questions and helpful information. It is this level of Whohave aremythe people who take the X-Rays or perform the ultrasounds? direct communication and teamwork that results in the very best care for our mutual patients.

Those are radiology technologists or ultrasound sonographers. They are invaluable members are the most common health you see at Toms riverThey X-ray CT received & mri? of theWhat radiology team who are licensed to conditions perform a particular examination. have Our facility sees everything and anything you can imagine. The purpose of a test can range from extensive training, however, they are not physicians.

something as simple as looking for gallstones or pneumonia, to detecting breast cancer with screen-

Caning I talk to my radiologist? mammograms, to diagnosing and following cancer treatment. The health conditions diagnosed are Absolutely! Your you and your referring physician in choosing the as numerous as radiology the numberisofavailable possible to diseases. properhow examination, the resulting medical images, and in using test results to has your interpreting business changed in response to the health recommend further examinations or treatments. insurance industry over the past 3 years? Although may not physically see the radiologist during visit, the radiologist a very With the you pressures for insurers to keep health care costs low, it your can be challenging to ensureis that integral part of your health care. Always feel free to regard the radiologist as your own physician patients get the best quality care through their health plans. My staff strives diligently to work with and your preferred imagingcompanies center as to your extension of your family office. patients and insurance keep costs manageable withoutdoctor’s sacrificing our level of service.

Ashow always if you have any questions, feel free to contact our office do you keep current on new developments in your field? where our isstaff will be more happy to assist you. Medicine a constantly evolving field.than Radiology is particularly exciting, with732-244-0777. new technologic break-

Cyrus Khorrami, mD Medical Director of Toms River X-Ray CT & MRI Center

throughs and advances in imaging. The best way to keep current is to attend conferences and constantly read medical journals. We are required to have 75 hours of continuing education every three Patient Testimonials years. Since I find my field fascinating, I enjoy reading as much as I can about it. “I wasAllinformed by the staff regarding myAmerican procedure and of what it entailed. of our equipment is accredited by the College Radiology, which This is thereally highestrelieved stanmy anxieties I may haveInhad!” - Jean, River dard for equipment. order to maintain this accreditation, we are always upgrading andToms replacing our equipment to provide the very latest technology and best image quality. “I get all my studies done here. I always enjoy seeing a friendly face at Toms River X-Ray, and What do you find most rewarding about your business? they give me the feeling that my care and comfort is important to them.” - Marie, Brick I am very blessed that I have found a field that I love, where I am able to make a positive impact every day in many people’s lives. Helping someone and making a difference is the greatest “The staff is very professional and work as a team. They go above and beyond the call of duty.” reward I could ask for. - Michael, Manchester

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May/June2015 2014 May/June

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Happy Memorial Day

Memorial Day, originally called Decoration Day, is a day of remembrance for those who have died in service of the United States of America. Over two dozen cities and towns claim to be the birthplace of Memorial Day. While Waterloo N.Y. was officially declared the birthplace of Memorial Day by President Lyndon Johnson in May 1966, it’s difficult to prove conclusively the origins of the day. Regardless of the exact date or location of its origins, one thing is clear – Memorial Day was borne out of the Civil War and a desire to honor our dead. It was officially proclaimed on May 5, 1868 by General John Logan, national commander of the Grand Army of the Republic. “The 30th of May, 1868, is designated for the purpose of strewing with flowers, or otherwise decorating the graves of comrades who died in defense of their country during the late rebellion, and whose bodies now lie in almost every city, village “We cherish too, the Poppy red and hamlet churchyard in the land,” he proclaimed. The date was chosen because it wasn’t the anniversary of any particular That grows on fields where valor led, battle. By 1890 it was recognized by all of the northern states. The South refused to acknowledge the day, honoring their dead It seems to signal to the skies on separate days until after World War I (when the holiday changed from honoring just those who died fighting in the Civil That blood of heroes never dies.” War to honoring Americans who died fighting in any war). Source:http://www.usmemorialday.org/?page_id=2 By Moina Michael

The History of

Memorial Day

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M Medical edical P Pro roffessionals essionals

00 35

The Aging Spine: A When CommonYou Cause Of Back And Leg Pain What Happens Have Scoliosis? PART ONE

T M

hisost willpeople be a will 2-part article which willatdiscuss theinpresentation, experience back pain some point their life. As symptoms and thejoints diagnosis ofhips scoliosis. Theexperience second part people age, their (such as and knees) wear willand focus on treatment and prognosis. tear. The spine also consists of a complex set of joints that can degenerate. When Scoliosis this degeneration leads a narrowing the spinal is a condition thattocauses the spine of to curve and canal in the lower back,rotate it is referred to as lumbar spinal stenosis. in an abnormal fashion. It is a common concern of Anatomy many parents. The most common category of scoliosis is

It is important to understand some“Adolescent of the basicsIdiopathic of the anatomy of the Adolescent spine to understand termed Scoliosis.” identifies lumbar spinal stenosis. The spinal column consists of a series of bones connected to one the typical ages of onset being ten to skeletal maturity. In fact, another by intervening discs, joints and ligaments. The bones are referred to as vertebrae. most scoliosis is identified during the initiation of puberty. The vertebrae have a space within them called the spinal canal where the spinal cord and denotes ourthe incomplete its origin nerve roots travel. Generally Idiopathic in the low back region spinal cordunderstanding has ended andofthere are or exact causativeoffactors. nerve roots that supply the legs. The sections the spinal column have different names, where the low back section is referred as the lumbar spine.organizations such as the Throughto the efforts of many

What happens as theScoliosis spine Research ages? Society, causative factors and theories are

With aging, the normal discs and joints that investigated. connect the vertebrae degenerate. This leads constantly being Depending on the source, to narrowing of the discs andthere arthritic changes of the joints, which can subsequently to of often is a genetic component recognized -- up tolead 30% pain in the low back. In addition, the ligaments overgrow and bone spurs form. All of these scoliosis shows a positive family history. Research continues factors together cause the spinal canal to get narrower over time. Once the spinal canal narto elucidate the to specific genetic influences. Currently, the rows to a certain point, the nerves that travel the legs get pinched causing lumbar spinal genetic factors are considered multifactorial and no single stenosis.

genetic been discovered. Other theories such as hormonal factors are being What influence are thehas symptoms? investigated. Other factors have been discounted as contributive such as athletic The symptoms of lumbar spinal stenosis include back pain, whichfactors can vary depending on activities, lack of activity other such as heavy backpacks. the severity of the arthritis.and There caninfluences also be pain in the buttocks that can travel down the of the legs, oftentimes referred as “sciatica.” There can also be numbness back Scoliosis is more common than to most people realize. Approximately 25 out or oftingling in the buttocks or legs. As the pressure on the nerves roots worsens, weakness can occur, 1,000 adolescents have some form of scoliosis. The majority of curvatures are small and especially in the foot. Patients will often times report that the pain is worse by standing up managed only with observation and surveillance. However, as many as 3-5 out of 1,000 straight and walking, but gets better with sitting and leaning forward. As time progresses, adolescents require some treatment. young girls andin boys patients will will not be able to walkform as farofthey once didBoth without feeling pain their are legs.affected, Some however, girls are diagnosed more often and have curvatures that more frequently patients, however, note that leaning forward on a shopping cart will allow them to walkrequire farther treatment. without pain.Thankfully, most patients with scoliosis only require observation. How Scoliosis defined as a spinal curvature of more than 10 degrees. Measurements are is it istreated? Theon treatment begins first withentire seeingspine. a physician in dealing with the spine and made x-rays obtained of the Spinaltrained curvatures are viewed and described obtaining accurate diagnosis. The diagnosis is made based on the history and physical as “C” or an more commonly “S” shaped. An x-ray of a typical patient with adolescent exam, and scoliosis also with depicts X-rays and MRI. Generally, is started with non-surgical idiopathic an “S” shaped curvetreatment with a thoracic (upper back) and a options. lumbar This includes physical therapy, medications, acupuncture and steroid injections. Oftentimes (lower back) component. A pediatric orthopaedic surgeon will often follow diagnosed patients will feel good pain relief from these treatments. If a patient has a poor quality of life children multiple times a yearand andnon-surgical perform x-rays to assesshave possible scoliosis progression. due to lumbar spinal stenosis, treatments not worked or only worked temporarily, Symptoms and findings of scoliosis are often subtle but may become more apparent then surgery is considered. The main stay for treating lumbar spinal stenosis is to remove the ligaments, boneasspurs andpuberty. other compressive factors pressure on during growth spurts, such during Thankfully, pain from is notplacing a common finding thescoliosis. nerve roots. This process is referred to as decompression, a laminectomy. Thescoliosis surgeon in Equally uncommon are neurologic symptoms. or Physical findings of doesinclude not remove all of theinvertebrae, only theaelements in thetilt back are placing may differences shoulder height, subtle pelvic andthat bulging ribs orpressure scapula on the roots. Sometimes a spinal fusion is also needed for various reasons. The laminectomy observed from behind. There are times legs may appear to be of unequal length. School can be done using a traditional incision, a small “mini-open” incision or a minimally invasive screening an important recognition. However, is most approach. remains The choice of approachpart will of bescoliosis determined based on the severityscoliosis of the stenosis, often recognized by pediatricians during routine and well visits. the individual patient and surgeon factors. Most people experience good pain relief in their surgery and arepatient able to with resume their normal lifestyle after and recovering from surgery. legsA after typical adolescent scoliosis will be examined undergo However, improvement in the is variable. surveillance x-rays every 4-6back months. This is often tailored to the type and extent of In Conclusion . . . Additional types of imaging, such as MRIs and CT Scans are the scoliotic curvature. Lumbar spinal stenosis is not one commonplace cause of back and leg paincurvatures, that affectshowever, people asthere they are age. for typical It is important to see a physician trained in treating this disease to obtain an accurate diagpatients with unique curvatures or features that may require nosis. Once that is achieved, there are multiple treatment options that can help improve a additional imaging techniques.

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Spinal Surgery Total Joint Re STEVEN BERKOWITZ, M.D., P.A. Bone Density T ROY D. MITTMAN, M.D., P.A. Workers’ Compe ARTHUR P. VASEN, M.D., PH.D., P.A. Foot & A ■ OCEAN OFFICE KENNETH Y. CHERN, M.D., P.A.■ BRICK OFFICE 1200 Eagle Avenue 1640 Route 88 West HARALAMBOS DEMETRIADES, M.D., P.A. Ocean, NJ 07712 Brick, NJ 08724 222 ARTHUR K. MARK, M.D., P.A. Ph: (732) 458-7866 Ph: (732) 660-6200 CHRISTOPHER J. SPAGNUOLA, M.D., P.A. HOAN-VU T. NGUYEN, M.D., P.A. 120 ARON M. GREEN, M.D., P.A. B SUNIL R. THACKER, M.D., P.A. 16 KEVIN C. MCDAID, M.D. Clea PAUL T. HAYNES II, M.D. 294 Appl JOEL P. FECHISIN, M.D. Sa ROBERT P. PANNULLO, M.D. ■ MONROE OFFICE ■ FREEHOLD OFFICE 294 Applegarth Road, Suite C 222 Schanck Road D.O. ADAM M. MEYERS, Freehold,W.NJGREAVES, 07728 KEIRON M.D. Monroe Twp., NJ 08831 Ph: (609) 495-1888 Ph: (732)GARLA, 462-1700 ww SUDHA M.D.

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Seaview & Medical Medical SeaviewOrthopaedic Orthopaedic & Associates has provided the highest Associates has provided the highest quality care in Monmouth and quality of of care in Monmouth, Middlesex Ocean Counties forfor over and Ocean Counties over3030years. years.

Praveen Yalamanchili, MD. Dr.medical Yalamanchili is aatfellowship-trained Spine Medical Surgeon, who completed his training at Emory University in Atlanta, Georgia. Dr. Paul Haynes completed school UMDNJ/New Jersey School in Newark New Jersey. Following medical school, he completed his internship and residency at Albert Einstein College of Medicine at Montefiore Medical Center in New York. Dr Haynes went A native of New Jersey, Dr. Yalamanchili has returned home after completion of his Fellowship training. He attended medical school at UMDNJ – Robert Wood on to complete his fellowship in Orthopaedic Surgery as well as Pediatric Sports Medicine, Limb & Pediatric Deformity also at Albert Einstein JohnsonCollege Medicalof School and completed orthopaedicanresidency at UMDNJNew at Jersey Medical School. He specializes in the treatmentinofStaten spinal disorders Medicine. He also his completed Arthroscopic Fellowship Staten Island Orthopedics & Sports Medicine, Island, New York. Dr. Haynes is a general orthopaedic surgeon, specializing in Pediatric Sports Medicine, Limb & Pediatric Spine Deformity as as including degenerative, deformity and trauma and has particular interest in cervical (neck) surgery as well as minimally invasive and motion sparing well procedures.

General and Pediatric Orthopaedic/Surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital.

www.seaviewortho.com • 732-660-6200

www.seav i ewwww.TheCountyWoman.com or t h o. com • 732- 660 -6 2 0 0 The County Woman Magazine

The County Woman Magazine www.TheCountyWoman.com

November/December 2014 May/June 2015

Garden

Local Honey

rom the Garden, Inc. is a 17-acre farm in Freehold, NJ, owned by Drew and Patty Madzin. Drew’s background spans over 40 years in the turf and ornamental business. After recently retiring, they decided to expand their hobby of beekeeping, and are now raising bees on their farm and throughout rural areas in Central Jersey, which is a multi floral environment (wildflower). In addition, From the Garden, Inc. now has the ability to produce a wide variety of fruits, flowers, pumpkins, and, of course, honey. With more than 300 hives, Drew and Patty take the utmost care to provide you with the best local honey possible. In addition, they have approximately 3,000 trees that yield delicious apples, peaches, pears, and plums. You can be sure you will enjoy the wonderful variety of their seasonal bounty. From the Garden, Inc. is located just minutes from downtown Freehold at 353 Fairfield Rd. Stop in today to see their observation hives and witness a working bee colony. You can also schedule a talk for a school class, scout troop or any other type of group that might benefit from learning all about beekeeping, and the importance of the honeybee to our environment.

ith spring in full swing, From the Garden, Inc. is ready to serve their customers’ at the Honey Shoppe or on their online store. At the Honey Shoppe, you can learn more about how the honey gets from the beehive to your countertop with their indoor observation hive. It’s a great way to see how the bees go about their day and just what goes into a jar of honey. Drew and Patty carry varieties of honey in their store and online, including: Wildflower (light and medium), Buckwheat, Creamed Wildflower, Creamed Buckwheat, and Creamed Wildflower with Organic Cinnamon. In addition, From the Garden, Inc. offers hand creams, soaps, lip balm, honey favors, candles, and gift baskets. They take the time to craft personalized favors, with options ranging from honey to lotion to lip balm and more. They can create personalized tags that can accommodate any color scheme. With wedding season, Mother and Father’s Day quickly approaching, you can give your guests or your special loved one a treat they will simply enjoy.

ince the beginning of the new year, From the Garden has changed up their shop all for the better, by adding a few new products and services to make your visit all the more enjoyable. If you’ve been keeping track of their Facebook page, you’ll have seen that they now sell fresh roasted coffee from Fair Mountain Coffee Roasters. It’s a great blend of amazingly delicious coffee beans that makes mornings all the more pleasant. Visitors of the Spring Fling event will remember their friend The Rollin’ Bistro and his amazing food truck cuisine. From The Garden now offers “Seasoning Salts” by The Rollin’ Bistro in several different flavors, including bacon and habanero, which make for the ultimate cooking experience. From the Garden will also start offering gift sets for various occasions. Pre-made gift sets are available from the online store (fromthegarden.com/gift-sets) and can be customized for your liking. From the Garden will ship anywhere in the continental United States. Their gift sets either include several different types of honey or an array of our body products. Several size options are available so it is easy to make the perfect gift. Don’t forget about their collection of jams from Holly Jolly Jams. Their shop is always fully stocked with all flavors, from sweet to spicy.

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Garden

Local Honey

heir fresh produce is grown just yards away from the From the Garden, Inc. shop front, with harvests typically beginning in early July. They strive to provide the best seasonal local produce, with apples, Asian pears, persimmons, peaches, and more picked, washed, and out for sale in a matter of minutes. They aim to grow something new and exciting in our garden every year, so stop in today to see and learn about the different fruit we have this season! All produce is grown during natural growth periods, so check in often to see what is ripe.

uring the spring, summer and fall, From the Garden is fully stocked with flowers so the bees can do what they do best, pollinate and make honey! The bees kindly share their flowers, so they are never short on fresh, beautiful bouquets in season. In addition to individual bouquets, they can create custom floral arrangements for all occasions. They specialize in dahlias, sunflowers, zinnias, gladiolus, and we add more each season!

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

M edicalP P M edical rorofessionals fessionals

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Quit Smoking, Live Longer • 1 to 9 months after quitting: Coughing and shortness of breath decrease; cilia (tiny hair-like structures that move mucus out of the lungs) start to regain normal function in the lungs, increasing the ability to handle mucus, clean the lungs, and reduce the risk of infection. • 1 year after quitting: The excess risk of coronary heart disease is half that of a continuing smoker.

Submitted by: Dr. Sarah J. Easaw, MD, FACP Ocean Hematology & Oncology

he Health hazards of smoking were discussed in the previous issue of MCW. Though everyone knows that smoking is injurious to health, few are able to quit successfully. This is due to the strong addictive potential of nicotine. Most people need medical help to break away from this dangerous habit.

What are the benefits of quitting?

“I stopped smoking last year. Do I still have a risk of cancer?” The health benefit from smoking cessation can be summarized in this order. (Adapted from ACS website, cancer.org) • 20 minutes after quitting: Your heart rate and blood pressure improve. • 12 hours after quitting: The carbon monoxide level in your blood drops to normal. • 2 weeks to 3 months after quitting: Your circulation improves and your lung function increases.

• 5 years after quitting: Risk of cancer of the mouth, throat, esophagus, and bladder are cut in half. Cervical cancer risk falls to that of a non-smoker. Stroke risk can fall to that of a non-smoker after 2-5 years. • 10 years after quitting: The risk of dying from lung cancer is about half that of a person who is still smoking. The risk of cancer of the larynx (voice box) and pancreas decreases. • 15 years after quitting: The risk of coronary heart disease is that of a non-smoker.

How do I quit smoking?

“I have attempted to quit smoking several times, but I simply cannot do it.” Does this sound familiar? Medical professionals hear this statement many times a day. In fact, only a minority of smokers is able to quit “cold turkey”. Others need help, support and most often medications. Nicotine can cause mental and physical dependence. There are support groups and smoking cessation programs that can help with the mental addiction. Help from friends and family is also essential to fight the mental urge to continue smoking.

PART II

Nicotine Replacement Therapy:

Heavy smokers can develop withdrawal symptoms upon quitting abruptly. To prevent this, several nicotine replacement methods are available, either by prescription or over the counter. FDA has approved nicotine patches, gums, inhalers, lozenges and nasal sprays to help smokers who want to quit.

Medications that help to quit smoking: Bupropion (Zyban) Bupropion (Zyban®, Wellbutrin®, or Aplenzin®) is a prescription antidepressant in an extended-release form that reduces symptoms of nicotine withdrawal. It does not contain nicotine. This drug acts on chemicals in the brain that are related to nicotine craving. Bupropion works best if it’s started 1 or 2 weeks before you quit smoking. The usual dosage is one or two 150 mg tablets per day. Side effects of bupropion include dry mouth, trouble sleeping, appetite changes, agitation, constipation, and headaches. Bupropion should only be taken under the care of a physician.

tors in the brain. In addition to decreasing the pleasure a person gets from smoking, it also reduces the symptoms of nicotine withdrawal. Chantix should be started a week before the day you plan to quit. Quitting smoking is a complex process. In addition to nicotine replacement therapy and medications, a lot of will power, emotional support and strength are also needed to help a person quit this unhealthy habit.

Nicotine patches (transdermal nicotine systems): Patches give a The Tobacco Quit Center measured dose of nicotine through of New Jersey offers treatment the skin. You are weaned off To get more details, please programs throughout New contact Jersey to nicotine by switching to lower-dose assist in smoking cessation. patches over a course of a few weeks. Sarah J. Easaw, MD,visit FACP For more information Patches are available in different www.instituteforprevention.com strengths. The 16-hour patch is useor call: 973-926-7978 or ful for the light-to-average smoker. www.oceanhemonc.com 732-886-4149. The 24-hour patch provides a steady dose of nicotine, avoiding ups and To get more details, please contact Varenicline (Chantix) downs. It helps with early morning ® Sarah J. Easaw, MD, FACP Varenicline (Chantix ) is withdrawal. But there may be more another medicine that is used to 732.961.0010 side effects like disrupted sleep pathelp people stop smoking. It works www.oceanhemonc.com terns and skin irritation. by interfering with nicotine recepDepending on body size and smoking habits, most smokers should start using a full- Compassionate Cancer Care, Close to Home strength patch (15-22 mg of nicotine) daily for 4 weeks, and then use a weaker patch (5-14 mg of nicotine) for another 4 weeks. The patch should be put on in the morning on a clean, dry area of the skin without much hair. It should be placed below the neck and above the waist — for example, on the upper arm or chest. The FDA has approved using the patch for a total of 3 to 5 months. Some possible side effects of the nicotine patch include: Skin irritation (redness and itching), dizziness, palpitation, sleep problems or unusual dreams, headache, nausea and muscle aches and W We offer a full range of Hematology & Oncology services. stiffness.

Patient Testimonials:

• Dear Dr Easaw, I wanted to let you know just how very much I appreciate you helping my Mom. You embody what a physician should be and your help will never be forgotten. Thank you for being the person you are and the compassion you have shown to my family. May God bless you and your family. No thank yous can show how much gratitude my family has for you. ~ Mary E

Visit www.oceanhemonc.com

732.961.0010

W We are dedicated to providing state-of-the-art cancer care in a warm and personalized manner. W Our newly renovated, spacious infusion room provides a peaceful and friendly atmosphere to patients while they receive chemotherapy and other infusions. W Our staff is highly qualified, experienced and compassionate.

Sarah J. Easaw MD, FACP Diplomate of the American Board of Hematology, Oncology & Internal Medicine

Ocean Hematology & Oncology 1255 Route 70, 31S Easily Accessible Location, Near Exit 88 on GSP

• I wish to thank Dr Easaw and her wonderful staff at Ocean Hematology. You made this part of my journey less painful, comfortable and pleasant. I enjoyed all our talks, smiles, hats, comforters, and oh,yes! the recipes (Diane). Be Blessed as you have Blessed me… ~ Pauline

Smoking Cessation

Lakewood, NJ 08701

732.961.0010

www.oceanhemonc.com Accepts Most Insurances Affiliated with Kimball Medical Center, Ocean Medical Center and Community Hospital Access to Clinical Trials

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January/February 2013 May/June 2015

Community Community

39 77

For cancer survivors, or Living With Cancer Celebrating Life … While someone dealing with cancer

National Cancer Survivor’s Day® Celebrations

Bounjour . . . YOU’RE INVITED

ANational Cancer Survivor’s Day

National Cancer Survivor’s Day® “Springtime in Paris” Celebration

Cancer Survivor is someone who is diagnosed with cancer at any time during his or her life.

Celebrations hosted by Sarah J. Easaw, MD & Staff The National Cancer (Ocean Hematology & Oncology) (Center) Dr. Sarah J. Easaw of Ocean Hematology & Oncology is When: Friday, June 5: 1.00-4.00 pm Survivors’ Day is celebrated proud to sponsor the annual National Cancer Survivor’s Day party. Fri., June 20th • 1.00 to C 4.00ommunity nationwide to honor and pm Where: celebrate those who have sur- Mansion-on-the Plaza, Mansion-on-the-Plaza, 108 Brick Plaza, Brick, N.J. 08723 vived cancer or are undergoing Free Admission ~Life cancer treatment.108 Brick Plaza, Brick, NJ Bring One st! Celebrating …GueWhile L An afternoon filled with entertainment, music, delicious food and lots of fun!

Sarah J Easaw MD and staff at Ocean Hematology National Cancer Celebrating Life…While living with cancer & Oncology is hosting A Cancer Survivor is someone who is diagnosed with cancer at any time during their life.® Survivor’s Day National Cancer Survivors’ RSVP: Maria or Marisa at The Cancer Survivors’ Day is celebrated nationwide to honor and celebrate those who Day National Celebrations for Cancer Celebrations have survived cancer orand are undergoing cancer treatment. Sarah J Easaw MD and staff at Ocean Ocean Hematology & Oncology Survivors in Monmouth Hematology & on Oncology for Cancer Cancer Survivor732-961-0010 before June 1, 2014. Ocean Counties June is hosting National Cancer Survivors’ Day Celebrations Survivors in Monmouth and Ocean Counties is someone who 20th. If you are a cancer survivor, You are is diagnosed with invite cancer d to join us for this Celebration of Life. If you are a cancer patient • A day to honor your strength and courage… or a survivor and are interat any time during or • To his • To meet with those who have traversed the same path as youhonor have your strength and courage ested in attending this event, her life. • To meet with people who have traversed similar paths • Share your experiences, fears and hopes… please RSVP to Maria or The National Cancer Dr. Sarah J. Easaw of Ocean Hematology & Oncology is To celebrate(Center) life while Marisa at Ocean Hematology and most of all, to have lots of fun… Survivors’ Day is• celebrated living with a diagn osis ofDay Cance proud to sponsor the annual National Cancer Survivor’s party. r & Oncology at: 732-961-0010 nationwide to honor and A day filled with music, food and entertainment. 3-Minute Makeovers for Women: before June 1, 2014. celebrate those who have surIf you are a cancer patient or a survivor and are interested in attending this event, please RSVP Annie Labbate, Riverfront vived cancer or are undergoing to Maria or Marisa at Ocean Hematology & Oncology at: 732-961-0010 before May 15, 2015. cancer treatment. Hair Studio and Spa Admission is Free… You may bring one guest with you. Sarah J Easaw MD and Hope to see you there! staff at Ocean Hematology Ocean Hematology & Oncology & Oncology is hosting 1255 Rt 70 31S, Lakewood, New Jersey, NJ 08701 National Cancer Survivors’ Ph: 732-961-0010 www.oceanhemonc.com Day Celebrations for Cancer Survivors in Monmouth and June I was diagosed with breast cancer. I was lucky enough to be directed In 2009, Testimonials From Past Survivor’s Day Parties Ocean . . . Counties on to a wonderful oncologist, Dr. Sarah Easaw and her caring staff. In 2010, I 20th. I want to thank you for the wonderful Cancer Day Survivors party that I received an invitation to a “50’s Party” being thrown by Dr. Easaw and her staff to all a cancer patient attended in June 2011. The Fiesta Theme was so much fun. I especially If you are cancer patients and survivors. along with their guests. The affair was in her office where it or a survivor are interenjoyed the professional dancers and hearing the patient’s stories was very inspiring. I wasand decorated and Dr. Easaw and her staff dressed like people from the 50’s ested in attending event, would like to thank you and your staff for all your hard work and making that such a along withthis some of us! Dr. Easaw had an “Elvis” performer for entertainment. The food please RSVP to Maria or special day. was plentiful and not to be believed. Everyone had a great time. In 2011, again another Marisa at party Ocean Hematology ~ Geraldine M. honoring the cancer patients survivors and those in treatment. This year it was a “Fiesta”. The food was delicious and again Dr. Easaw and her staff were dressed accord& Oncology at: 732-961-0010 Al an I had a nice time at your party, and we thank you very much. ingly in “Fiesta” clothes. This year it was at a fire house and the entertainment was dancbefore June 1, 2014. ~ Lois ers. Everyone had a chance to learn a new dance. Again Dr. Easaw and her staff outdid

Fri

Man

Bienvenue a Paris!

• • • •

Dr Easaw and staff, Thank you again for a delightful afternoon of fun, food and fellowship. ~ Dottie

~ Trish

Dear Dr. Easaw, I am still basking in that warm and wonderful party you gave us all...You truly outdid yourselves. Can’t wait for next year’s party.

F A

•

themselves. Everyone had a great time. This year the theme is ‘Springtime in Paris’ “Casino Night” andand it it will be at a new place. I know it will be wonderful again. I don’t know if the doctor and staff have any idea what a great boost this gives to us who have or had cancer, we appreciate all the work they do not only as our “Medical Team” but as such loving and caring individuals. I thank them all from the bottom of my heart and God Bless each and everyone of you ... thanks Cheryl Washington

www.TheCountyWoman.com The www.TheCountyWoman.com The County County Woman Woman Magazine Magazine

in • To h • To m • To c

Bien

May/June May/June 2015 2014

Specialty Cakes

Lisa Porada

Chocolate Novelties

Owner, Cake Designer

Life’s Short ... Eat Dessert First!

Chocolate Carousel is an old-fashioned bakery and sweet shop featuring homemade specialty cakes for all occasions, desserts, hand-dipped chocolates and novelties located in Wall, NJ.

2510 Belmar Blvd., Colfax Plaza • Wall, NJ

www.chocolatecarousel.com • 732-280-0606

ASK LISA. . .

What are some of the trends we can expect to see for wedding cakes in 2015?

2015 will be an exciting year for wedding cake designs. Brides are getting bolder and more adventurous with their wedding cakes. This year we expect to see the use of bold colors on cakes, geometrical shapes used in patterns both large and small and the use of metallic on cakes. The color of the year is GOLD!

Voted Best Bakery In Monmouth County For 5 Years In A Row!

Is it appropriate to serve chocolate cake at a wedding?

Gone are the days of the all white wedding cake. Today’s brides and opting for rich indulgent cake flavors. We have noticed that brides are budgeting a little extra for cake flavors in an attempt to wow their guests! Rich dark chocolates, red velvets and salted caramels are all the rage. We are featuring an almond cake in 2015 that has been super popular paired with our raspberry chambourd buttercream.

An exclusive Monmouth County Woman offer...

Win a FREE 7”

BIRTHDAY CAKE! Just clip and return to: The County Woman P.O. Box 619 Turnersville, NJ 08012

Name: _________________________________________________________ Address: ______________________________________________________ City: _______________________ State: ___________ Zip: ______________

2510 Belmar Blvd., Colfax Plaza in Wall, NJ 732-280-0606

www.chocolatecarousel.com

Phone (______) ________________ Email: ___________________________ £ Check Here to Receive Specials from Chocolate Carousel. Winner will recieve a gift certificate for one (1) free 7” birthday cake, good for one year. One entry per person. Multiple entries will be disqualified. Entries will be accepted through May 31st, 2015. Company does not provide any personally identifiable information to third party ad servers or ad networks without your consent.

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Meet Our Design Team

hocolate Carousel is a family owned and operated bakery and dessert shop located in Wall, NJ. Chocolate Carousel offers layer cakes, cupcakes, pies, pastries, cookies, handmade chocolates and, of course, our specialty designer cakes and wedding cakes! While it takes a team effort by all our sales staff, administration and bakers to make this business successful, today we wish to introduce you to our Cake Design Team. Chocolate Carousel is proud to employ these formally trained and talented cake designers & pastry chefs. Their blend of talent and areas of special interest make Chocolate Carousel the perfect spot to find unique, beautiful cakes for your special event in a creative, professional environment. Liz Norton

Lisa Porada

Owner Lisa Porada is a lifelong resident of New Jersey, living in Shrewsbury for 15 years with her husband, John and their two daughters. Lisa graduated from Rutgers with degrees in Spanish and Political Science and Drew University with a Master’s in International Affairs. She worked for several years on Wall Street and later at a consulting firm in New Jersey. However, her love of creating sweets, originating from a high school job in a sweet shop, inspired her to leave the corporate world and pursue her dream. Chocolate Carousel was founded once Lisa completed training in chocolate, pastry and cake design. Lisa runs the company and acts as the executive pastry chef and lead cake designer. Having just celebrated its 12th anniversary, Chocolate Carousel is widely known for its beautiful cake creations, creative designs concepts and exceptional quality and service. Chocolate Carousel has received a number of local and national awards for its work and philanthopy.

Born and raised in North Jersey, Liz always had a close relationship with her mother and grandmother, both of whom loved to bake. As she grew older, she developed a passion in the creative aspect of baking and cake decorating, which led her to the Connecticut Culinary Institute. She graduated with a degree in baking and pastry arts and began working in the culinary world where she gained a great deal of experience perfecting her craft. Prior to joining the team at Chocolate Carousel, she worked in the industry creating high-end custom cake designs and has appeared on Food Network cake challenges. Recently, Liz joined Chocolate Carousel as the Executive Assistant/Custom Cake Designer. She enjoys working with a company that challenges her and expects her vey best. Chocolate Carousel’s commitment to excellent quality and customer service attracted her to their organization. She loves working with the other team members and having the ability to use her creativity everyday.

Jennifer Cardella

Nicole Iuzzolino

Jennifer started as an intern at Chocolate Carousel in 2009. She graduated from Southern New Hampshire University in 2010 with an associate’s degree in Baking and Pastry. She was honored to receive the “Baker of the Year” award at her graduation. Shortly after graduating she joined the team at Chocolate Carousel. She loves putting her twist on recipes, making them her own. Over the years she worked hard to grow within the company to her current role as lead Pastry Chef. Equal to her love of baking, Jen enjoys decorating and is an accomplished wedding cake designer. Having started her career at a young age, Jen is looking forward to a bright future as a pastry chef.

Born and raised in Central NJ, Nicole’s interest in the culinary field started back when she was in middle school and discovered the Food Network. She was inspired to take a cake-decorating course in high school and quickly realized her passion for pastry. Nicole graduated from Johnson & Wales, Providence, RI campus in 2008 completing the Baking and Pastry Arts Program with an Associate in Science. Upon graduation, she was offered a cake decorator position at a bakery in her hometown. Nicole is thrilled to be part of the design team at Chocolate Carousel. She has had the opportunity to expand the scope of her work, use her creativity in decorating a variety of cakes, and work with brides to help them create their dream wedding cakes.

Kristen Battisti

Kristen developed an interest in baking at a very young age and knew she wanted to be a pastry chef. As a child she enjoyed helping her grandmothers make holiday cookies and homemade fresh pasta. After graduating Central Regional High School in 2005, Kristen attended Johnson & Wales University and graduated with an Associate of Science in Baking and Pastry Arts in May 2007. She joined the Chocolate Carousel team in early 2013 and has been enjoying the experience. Her skills as a pastry chef have enabled her to develop exciting new flavor combinations for stuffed cupcakes and cake fillings and flavors. She enjoys the opportunity to be creative with her work, making it fun to come to work each day!

Maria Orlikowski - Not Pictured

My father was my inspiration for baking from the time I was very young. But I realized it was my love when I began making cakes for special occasions. My love of baking led me to attend culinary school at the Institute of Culinary Education. After graduating in 2011 I began working in the field for a few years before I found myself a home at Chocolate Carousel! I’m always encouraged to be creative and share my ideas whether it’s for a cake, French macarons or everything in between.

Chocolate Carousel

2510 Belmar Blvd., Colfax Plaza • Wall, NJ

www.chocolatecarousel.com • 732-280-0606

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

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M Medical edical P Professionals rofessionals

H &Wellness ellness Health ealth &W

Caring Heart & Brain Is Dedicated To Creating Miracles Written by Lorraine Catalano, CNMT and Imaging Director

L Law aw

Q Why Should I Ask My Doctor About A Cardiac Perfusion Study?

aring Heart & Brain Imaging has made the latest cardiac technology available to residents of the Jersey Shore, who could only benefit from this same testing if they traveled to New York City, Philadelphia or Southern Jersey. A Cardiac PET Scan is the newest version of a cardiac stress test. Also called a cardiac PET PERFUSPECT PET SION study, it allows your cardiologist to determine if your heart muscle is receiving adequate blood flow Cardiac Perfusion Cardiac Perfusion and if that blood flow is evenly distributed. The Cardiac PET Scan is far superior to the present stress testing and will further eliminate any unnecessary procedures such as cardiac catheterization. Patients will benefit from the scan by dealing with speedier scan times-approximately 45 minutes as opposed to a two to four hour SPECT scan. More importantly, it cuts patient exposure in half because the Attirius scanner reduces patient exposure to radiation. PET Scans also 2414 Highway 35, provide clearer, more precise 2D images better suited for detection of disease. We use applications exclusive Manasquan, N 08736 to CHCI that provides extensive data and measurements that guarantee appropriate diagnosis and treatment. We have a great deal of compassion for our patients well being and like to do whatever it takes to make Phone: them comfortable, including playing their favorite music, something from our gourmet coffee bar or the company of our very attentive therapy dog, Dillinger. This is the only system that uses CFR-cardiac flow reserve-to guarantee accurate calculation of presence of obstruction: the only true way to determine if blood flow is compromised. Above all, Cardiac PET is the only technology that identifies early disease invaluable to younger patients with high risk factors.

Elder lder Caring Law awHeart & E L

T Theater heater &E &Entertainment

CHCI is the only facility in New Jersey offering this technology! Fine Art rt

Brain Imaging

732.292.1008 www.CHCI.biz

P Photography hotography

Q What Can Be Done About Memory Loss Or Family History Of Alzheimer’s Disease? E ducation E ducation

At Caring Heart & Brain Imaging, you are in our caring hands.

Let’s talk about the brain…Caring Heart & Brain Imaging is the first imaging center in New Jersey to be able to detect plaque in the brain, the precursor to Alzheimer’s disease. Although fighting the disease of Alzheimer’s continues to be an uphill battle, there is great hope on the horizon. That hope comes in the form of new treatments, medications, and most important new methods of early detection. The AMYVID Pet Scan is the new “weapon” on the market to combat this heartbreaking disease. If you are experiencing memory loss, and/or have a family history of Alzheimer’s disease, the Amyvid PET Scan could help you do just that.. help your children. Alzheimer’s disease affects the entire family. Help protect your children by getting an early diagnosis; the neuritic plauque that is a precursor to Alzheimer’s disease can be present in our brains years before symptoms occur. The AMYVID PET SCAN may enable diagnosis of Alzheimer’s disease by identifying beta-amyloid plaque in brain tissue. This means that the disease can be diagnosed several years before symptoms actually appear and an individual can receive groundbreaking treatments before the disease develops to advanced stages. Just as important, the incorrect diagnosis of Alzheimer’s may be eliminated for patients thought to have it and appropriate treatment decisions can be made based on the patient’s actual form of dementia. Another important benefit to undergoing a PET scan is the reduced radiation exposure. The scanner does not use CT in obtaining brain images. This is a huge factor for patients who may have had substantial radiation in the

Business usiness &F &Finance inance

past. This scan will give the information needed for doctors to make appropriate treatment decisions. Be sure to stop by and tour their impressive facility and meet their friendly, talented staff.

NORMAL No plaque present

MEMORY LOSS Plaque Present

Don’t let this oppurtunity to receive the best and most accurate technology for cardiac care slip away from you. Tell your doctor you want only the best. We are happy to answer any questios you or your doctor may have.

Lorraine Catalano, CNMT and Imaging Director

CARING HEART & BRAIN IMAGING We can be reached at 732-292-1008, or visit our website at www.CHCI.biz E-mail: service@caringheartcoronaryimaging.com

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March/April 2015 March/April 2015 January/Febru January/Feb May/June 2015

Health

Hypnosis for Women Professional Hypnosis & Coaching Rhoda Kopy, Director 1541 Rt. 37 East, Suite E Toms River, NJ 08753 732-270-0080 www.HypnoForWomen.com

Make Your Mind Work FOR You – Instead of Against You! Rhoda Kopy is a nationally certified consulting hypnotist and wellness coach, with specialty certification is complementary medical hypnotism. She earned a B.S. degree in Biomedical Communications from Richard Stockton College of N.J., has an academic background in nursing, and 20+ years’ experience in community health education and coaching. Rhoda adheres to strict ethical standards of the National Guild of Hypnotists.

Wellness

Empowering Children And Teens Using Hypnosis

hildren and teens can learn to “program” themselves for success, and develop an attitude of “I can do it!” when facing difficult situations. Think back over

your growing-up years. What were some of the key challenges you faced? Were you made fun of because you were overweight or bit your nails or got caught up in some other negative habit? Were you a capable athlete or student who didn’t perform well because you lacked confidence and focus? Were you super shy and had difficulty interacting with other people? Did standing up in front of the class to do a presentation scare the heck out of you? Were you petrified of going to the doctor’s office and getting the dreaded needle? Imagine having access to tools that would have allowed you to feel empowered, competent and capable, and equipped to handle challenges. What a difference that would have made! That’s precisely why hypnosis and coaching is a wonderful approach for children and teenagers. What they gain through several sessions, which includes instruction in self-hypnosis, lays a foundation that helps them as they travel through life. While many adults benefit from this approach, kids, in particular, have a natural affinity for it. Hypnosis engages the subconscious mind – that

part connected with behavior patterns, emotions, and memories, and which is the seat of the imagination. Children are so adept at using their imagination that they are said to be in a state of hypnosis much of the time. They are masters at daydreaming, playing “pretend,” and engaging in “make believe.” That ability allows them- to easily visualize, sense, or feel the things that are suggested to help them resolve an issue. Teenagers tend to be more analytical; but their curiosity about hypnosis, their imagination, and desire to make changes generally make them good candidates for this approach, as well. Some of the issues commonly addressed with teens and children include: • Negative habits (i.e., like thumb sucking, nail biting, skin picking, unhealthy eating) • Fears (i.e., needles, being alone, dentists, doctors) • Performance blocks (i.e., sports, academics, arts) • Focus and concentration (including studying and test-taking) • Bedwetting • Shyness and social unease • Organization and time management • Stress management Trying to address issues like these with the logical part of the

Commonly Asked Questions about Hypnosis What is hypnosis? It’s a naturally occurring state, like ❀ daydreaming, becoming absorbed in a good book, or zoning out while you’re driving. Used in a clinical setting, it’s a powerful vehicle for change. You are coached into a state in which the deeper part of your mind, the subconscious, is more accessible and open to change. Diverse techniques are used, such as guided imagery, mental rehearsal, NLP, etc. As with meditation, there are many physiologic benefits when it’s practiced regularly. Do some people lose control? That only happens on TV and ❀ in the movies. People use this technique because they want to gain more control over themselves. No one can make you think, say, do, or

mind – the conscious mind – doesn’t usually achieve results. You can talk to your child from now until the cow jumps over the moon about how the “needle” really won’t hurt, but all the rationalizing in the world isn’t going to change that gut reaction to scream and kick and flee. Appealing to the subconscious mind, using a variety of safe and gentle techniques, is what gets results. Young people who are introduced to hypnosis and coaching, and who practice what they’re taught, tend to: • Feel more competent and capable • Be more relaxed • Focus more easily • Feel empowered • Creatively problem solve • Feel equipped to handle challenges Children and teens who are good candidates for this approach include those who are open to the approach and who: • Want to resolve the particular issue – and see the benefits in doing so • Are able to discuss their feelings and goals surrounding the situation • Can sit quietly for at least ten minutes at a time • Will spend a few moments each day practicing certain techniques and/or listening to a CD • Are able to follow simple instructions

feel anything that runs counter to who you are and what you want. What if I’m not “hypnotize-able”? It’s rare that someone is ❀ unable to enter this state because it is a naturally occurring state. Therefore, just about anyone who wants to enter the state can do so. And, the more it’s practiced, the easier it becomes. People who would not be good candidates include those with organic brain damage, difficulty processing simple information, and severe and untreated psychiatric disorders. Is it possible to get stuck in hypnosis? No. It is possible to drift ❀ into a sleep state, however, because it’s often quite relaxing; but a good practitioner won’t let that happen. Can I use this approach instead of seeing a medical doctor ❀ or a therapist? This is not intended to take the place of licensed medical or mental health care. If you are having a significant physical or mental health problem, it needs to be appropriately handled. There are times when it is necessary for a hypnosis practitioner to request authorization before seeing certain clients, and hypnosis practitioners often work in tandem with physicians and therapists.

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The County Woman Magazine www.TheCountyWoman.com

May/June 2015

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The County Woman Magazine www.TheCountyWoman.com

Trichology Specialist on Premises March/April 2015

May/June 2015

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~ Interview With Laura Cole ~ Losing Your Hair?

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aura Cole of Abstrax Hair Designs has been working in the hair industry since she was just 13 years old. Her talent runs in the family, as she is a third generation hair stylist. Gerry, Laura’s mom, opened her first salon in 1976 and Laura did most of the cleaning and some shampoos for the other stylists. It was a full-service salon offering everything from cuts to color treatments. Gerry and Laura have been working together for close to 40 years. At 17, Laura received her Cosmetology License and attended professional classes and seminars so they could expand their services at the salon. In the 1980’s, both women became members of the American Hair Loss Association and continued to further their education in all aspects of hair replacement. They are now American Hair Loss Council Certified Master Hair Replacement Specialists and Certified Trichologists. “Hair loss is such a personal journey – and nobody ever signs up for that trip. Once you find yourself losing your hair, the first thing you need is answers. Why am I losing my hair? Who can help me find solutions,” Laura adds. CW: Laura, what is your involvement with the AHLC? Laura: Currently, I am a Board Member of the organization. It is so wonderful to be a part of an organization and industry that helps so many men, women and children. My Mother and I still attend educational classes and hands on demonstrations so we can continue to provide exceptional care for our clients, and offer the latest methods and products that the industry has to offer. CW: How do you help your clients that suffer from hair loss? Laura: We can’t change genetics but we can slow down the process. Hair loss can be a result of many factors including hormones, medications, stress, aging, Alopecia, Lupus and Trichotillomania, just to name a few. There is treatment for every hair loss condition. The industry has come a long way with FDA or health approved pharmaceutical and topical treatments and the most natural surgical (and non- surgical) hair replacements depending on your hair loss situation. Whether you are biding time while deciding what treatment to begin, letting hair follicles rest, or undergoing treatment, there is a great deal we can do for you.

Laura Cole The American Hair Loss Council (AHLC) is the only not-for-profit trade association serving the hair restoration industry. Their members consist of highly trained hair replacement specialists and technicians, certified trichologists, extensionists, wig fitters, and hair transplant surgeons, as well as manufacturers and distributors of industry related goods. They provide education, accreditation, peer networking and support among medical and non-medical hair restoration professionals, while providing support for individuals suffering from hair loss. All services are provided in an atmosphere of respect and confidentiality.

CW: What are some style options for those wanting to minimize their hair loss? Laura: Through cut, color, and care we try to minimize the effects of hair thinning and hair loss. We’ll suggest a new style like wearing hair forward to accentuate facial features and maximize thinning hair. Irregular “choppy” or notched ends, including bangs also visually plump up the look and helps soften the long, flat look of fine and straight hair on any face shape, especially oval. Our color formulas expand the actual diameter of the hair while protecting it from damage during the process. When applied properly and artistically, highlights will contrast a darker base and lowlights will add dimension so hair looks thicker. CW: What type of medical specialists do you suggest your clients visit in regards to their condition? Laura: We suggest seeing a Dermatologist and a Primary Care Physician. A dermatologist can diagnose any scalp infection or fungus, in addition to examining hair follicles under a microscope. They can prescribe approved medications and refer you to the proper physician who can further diagnose and rule out any autoimmune conditions or diseases. A medical doctor is the only one who can write a prescription for a “cranial prosthesis” (a medically necessary wig). A primary care doctor can also check for hormone imbalance, side effects of any medications, malnutrition and stress issues. At Abstrax Hair Designs & Hair Replacement Center professionals will work with you to help match your needs with an array of solutions and choices. They will answer your questions and help you find a solution that works within your budget. Best of all, your first consultation is free.

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

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May/June 2015 May/June 2015

Filing A Worker’s Compensation Claim: 23 Law aw 47 What are the benefits? 33 L aw Will You Qualify For Social Security Will You Qualify For Social Security Disability?

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• Elks West Kenndy Blvd., Lakewood, NJ, 08701• $15.00 person at the door OrLodge, Visit 711 www.Facebook.com/TheCountyWoman toper Enter Online! March/April 2015 • Wonderful Raffle • Entrants Visitmayhttp://pages.teamintraining.org/nj/nj15/lruane to donate! One entry per person.and MultipleGift entries Auction! will be disqualified. enter for tickets to multiple shows. Entries will be accepted through June 1, 2015. Some shows will be drawn sooner based upon run date. Winners are responsible to redeem their tickets. No refunds or exchanges. Transportation or meals will not be provided. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

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March/April 2015 May/June 2015

Law

Five Tips To Protect Your Child With Special Needs-Updated Part 1

bout five years ago, I wrote this blog post regarding this topic. It was written about the time my youngest daughter turned one. As many of you may know if you read my articles, I have two beautiful children. My youngest was born with the gift, Down syndrome. As I review it, these tips are still relevant today but I’ve also added some new updated information for parents to think about.

Protecting a child with special needs may lead families to make common mistakes. Here are a few examples: 1. Custodial Accounts. Commonly, there are custodial accounts in the name of a child with special needs. Such an account, however, will affect the child’s availability for government assistance. Custodial accounts are often established long before the child’s special needs are recognized. If the account has an excess of $2,000.00, parents must deplete any such accounts for the care of their child to qualify for Medicaid assistance or allocate the assets to a pooled trust or first party special needs trust. If parents choose to provide assets to or for the benefit of that special needs child, a special needs trust may be established by parents or other family members and gifts can be made directly to this trust account. U.S. News & World Report, 2012, had discovered that “More than 20 million U.S. families have at least one member with special needs.” Their most important concern? It was their child’s health as well

as with planning how to financially support their child throughout their lifetime, since many of them will outlive their parents but might not be able to support themselves and live independently. What is a special needs trust? Also, known as a supplemental needs trusts, enables third-party individuals, generally family members, to leave an inheritance to disabled heirs without those assets counting against them for the purpose of securing public benefits. Since these assets are titled to the trust, they are not considered part of the estate. Also, there is no limit to how much you may contribute. This is just some of the highlights of this type of trust.



2. 529 Plan. There also may be a 529 Plan in the name of a special needs child. This account in the child’s name may affect the child’s ability to receive government assistance. The 529 plan is considered an available asset of the child’s when determining his or her eligibility following the death of the individual who established the plan for such child. Recently, Congress passed the ABLE Act, Achieve a Better Life Experience. Like s 529 Plan, ABLE accounts allow families to set aside money (up to $14,000 per person annually), and pay no taxes on that money’s growth as long as it’s used for qualified expenses. ABLE accounts will be offered by states – although the Department of the Treasury and IRS are also involved. Based on the strong bipartisan support the ABLE Act received, it is anticipated that states will start offering accounts later this year. Stay tuned for more important tips in the July/August issue. Next issue will cover the retirement plan and insurance policy beneficiaries for special needs.

Do you have someone in your life with a Disability? are they financially protecteD?

About The Author... Christine

Matus is an Economics graduate from Rutgers University and continued her education at Touro Law School, where she has been helping people protect assets for special needs children and conduct smooth real estate for over almost two decades in Toms River, NJ. She is an active member of the Filipino American Cultural Development Center of Toms River and a legal advisor for the Filipino American Medical Society as well as the Philippine Nurses Association of Ocean County.

The Matus Law Group is here to help! • Special Needs Trusts • Wills & Estate Planning • Guardianships • Health Care Proxies

• Long Term Care • Powers of Attorney • Inheritance Tax Planning • Trusts

81 East Water St. Suite 2C • Toms River, NJ, 08753 Tel: (732) 281-0060

www.MatusLaw.com5

Christine L. Matus, Esq.

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Working with Legal Shield & LifeMay/June Lock

2015

732-784-7017 • 732-534-6446 Fax

Business Spotlight

~ Interview With Christine L. Matus, Esq. ~ MATUS LAW GROUP 732-281-0060

81 East Water Street Suite 2C Toms River, NJ 08753

www.MatusLaw.com

Family Protector: Christine Matus Provides Legal Assistance for Those Who Need it Most

rom an early age Christine Matus was exposed to the various different aspects of real estate through her parents. “My parents were both savvy with real estate and at one point my Mom had close to a dozen properties that she owned and managed. I would go with her to visit these properties and learned a great deal by watching her interact with the tenants and managers,” she adds. Therefore it was a natural progression for her to be drawn to real estate law. However, her real passion is derived from the work she does with the special needs population. Christine has devoted a large part of her practice to this area of the law. As an attorney, she protects the assets for special needs children and adults so they can have the lifestyle they deserve. And because she has a special needs child of her own, she understands it on a very personal level as well. “When my daughter was born, she presented us with a wonderful gift. She has taught my older daughter lessons in tolerance, patience and compassion very early in her life. For my husband and me, we have been given the ultimate lesson of unconditional love,” she adds. While lecturing to the public on various topics of special needs and estate planning, she is able to share her mission, which is to educate families on all of the options they have so they are equipped to make the best choices for themselves. CW: How did you become involved in real estate law?

Christine Matus: Every firm I have worked with has touched upon that area of the law so I have had some terrific mentors. Both estate planning and real estate are based on relationships. I have learned that valuing the relationships I form with my clients makes for more success all the way around.

CW: What is the most rewarding part about your profession?

Christine Matus: Special needs planning allows me to help out the most vulnerable members of our society. I help them realize their dreams and provide peace of mind and security for their families. Regarding real estate law, the challenge is remembering that there are many emotional aspects that must be acknowledged. Sometimes selling a home can be a bittersweet transaction. A client may be moving on to the next level but emotionally be very sad. As attorneys and professionals in this area, we have to respect that. With estate planning for those with special needs, many of the challenges come from making sure the public is well aware of the options they have. When my daughter was born with Down Syndrome, I discovered that finding information to help her was very difficult. There was a tremendous amount of conflicting information and without my network of professionals, I am not sure if I would have received the correct information in the amount of time that I had.

CW: Tell us a little bit about the planning you do for special needs clients describe that aspect of your business and how it challenges you.

Christine L. Matus, Esq. Christine and her husband Steven have two children, ages five and seven. They travel to Holland frequently as that is where Steven is from. As a result, her children have become “fantastic” travelers. Besides being a member of the New Jersey State Bar Association, she is also dedicated to public service. Christine is an active mediator with the Superior Court of New Jersey, Special Civil Part, a volunteer for Caregivers, Inc., a Eucharistic Minister, and a Board Member of the Ocean County YMCA.

Christine Matus: My passion for this area of law stems from my everyday personal experiences. My own family teaches me about the triumphs and challenges of having a special needs child more than any other law book can ever provide. As a result, we take a holistic method of caring and helping our clients. Planning for the future of a special needs child involves creating an estate plan that includes a special needs trust. A special needs trust is set up for a person with special needs to supplement any benefits they may receive from government programs. A properly drafted special needs trust will allow the beneficiary to receive government benefits while still receiving funds from the trust. We like to take the time exploring the individual’s lifestyle, what makes them happy, and how they picture the “perfect” day. Our planning goes beyond just building the special needs trust, and includes other professionals such as financial advisers, therapists, and schools. We are proud to have started the Matus Law Group Life Series Program. This is where we invite clients to exclusive private events, free seminars, and provide resources that involve ways to enhance the lives of not only the special needs individual; but their family members too. For example, we interview professionals in different areas from financial advisers to charities asking how they work and how they play a part in estate planning. An upcoming interview will involve a therapy dog trainer and their benefits. We then offer these interviews to our clients and will have them posted on our website as free resources for them. We also host fun events like client dinners that have an educational aspect.

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Art Gallery You are cordially invited to view

the works of Nolan Willence

at a newly opened Contemporary Fine Art Gallery

THE OASIS GALLERY 495 Route 9, Bayville, N.J. Saturdays 10AM - 5PM Sundays 12PM - 5PM Or by appointment:

P: (732) 657-3930 • C: (732) 575-5851 • E: nolan2032@yahoo.com

Nolan Willence’s Art Shop is

NOW OPEN! Prices starting at $35

Community

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Women Of Monmouth County Carol Link, Owner

Sarah J. Easaw, MD, FACP The Jewelry Link

Carol was the co-owner of the Diet Institute in Oakhurst for many years. In addition, she also drove a school bus for Pied Piper Nursery School in Manalapan for many years. For the past 30 years, Carol has been the co-owner of the Jewelry Link in Howell, NJ. Carol’s husband Richard was always in the jewelry business, and they decided it was time to open their own business. She enjoys shopping for beautiful pieces of jewelry for both men and women. She is also responsible for sales and bookkeeping. Carol was the chairman of fundraising for Temple Shari Emeth and belongs to the woman’s club and Brandeis at her adult community. Carol’s hobbies are playing Canister and Mahjong with friends. She also enjoys music. Carol has one son, Craig who also works in the business and they have a cat named Jersey. The Jewelry Link is located at 502 New Friendship Road, Howell, NJ. For more information, call 732-370-4840, email clink@optonline.netm or visit www.jewelrylinknj.com.

Specialist in Hematology & Oncology

Dr. Sarah Easaw is a board certified Oncologist and Hematologist who has been practicing in Lakewood since 2006. She completed her internship and residency in Internal Medicine at Harlem Hospital, affiliated with Columbia University, followed by a fellowship in Hematology and Oncology at New York Medical College in Valhalla, New York. Before moving to Ocean County, she practiced Hematology and Oncology in Westwood, New Jersey for 10 years. Dr. Easaw founded Ocean Hematology & Oncology, a medical practice focusing on the treatment of cancer and blood disorders. She received Star Career Academy’s Excellence in Healthcare Award in 2010. Her clinical expertise is equal to her ability to treat each patient as an individual with care and compassion. “Dr. Easaw is the most wonderful, compassionate woman and doctor that I have ever met,” says a patient. Dr. Easaw is a member of the American Society of Clinical Oncology and the American Society of Hematology and is a fellow of the American College of Physicians. She is affiliated with Kimball Medical Center, Ocean Medical Center and Community Medical Center. She resides in Monmouth County with her husband and two children. To learn more about Dr. Easaw and her practice, call 732-961-0010 or visit www.oceanhemonc.com.

Photo by Annette Jenkins Photography

Dr. Cherish Im, Pediatric Dentist TenderSmiles4Kids Cherish Im, also known as Dr. Cherish, was born and raised in Toronto, Canada. While attending high school, she developed an interest in dentistry and began working as a dental assistant. She then continued her education in Ontario and earned a Bachelor’s degree in Science at McMaster University in 2006. She subsequently moved to the United States and attended New York University College of Dentistry, earning her Doctor of Dental Surgery Degree. In her early days of dental school, she developed a strong interest in working with children, prompting her to advance her studies and clinical practice in Pediatric Dentistry at NYU College of Dentistry. During her residency she went to Alaska and many other underprivileged areas to provide dental care and education to those in need. Because of these experiences, Dr. Cherish developed an endearing passion to serve children throughout her career. Dr. Cherish is currently board certified by the American Board of Pediatric Dentistry, and is also a member of the AAPD (American Academy of Pediatric Dentistry) and ADA (American Dental Association). She is also certified in Basic Life Support (BLS) and Pediatric Advanced Life Support (PALS). Cherish currently resides in New Jersey with her husband, James, and their French bulldog, Mochi. Call 732-625-8080 to schedule an appointment today at one of our three locations for Tender Smiles 4 kids or visit www.TenderSmiles4Kids.com for more information.

Photo by Tracy Harman Photography

Joy R. Allison, Owner Balanced Life Weight Loss Institute

Joy is a certified Nutritionist and Weight Management Consultant as well as a Fitness Trainer. She has an Associates Degree in Human Services, and over 25 years experience in the Health/Weight Loss/Fitness industries working for such organizations as the YMCA, New York Sports Clubs, Positive Changes and many others. In 2011 she created FOODFIT Ultimate Weight Management in response to seeing and hearing from so many individuals struggling with weight management. In 2014 Joy joined forces with Dr. Rick Goldstein to expand and create Balanced Life Weight Loss Institute in Eatontown NJ. Balanced Life brings together in one location the three main components of successful weight loss and weight management, which are: nutritional analysis, fitness training, and behavior modification.“This is about how to live the life you currently live, make comfortable and reasonable changes and lose the weight for good,” she adds. “What I give to my clients is help, encouragement, and all the necessary tools to overcome the habits and behaviors that they’ve struggled with for too long”. To contact Joy, call 732-380-7705. For more information visit us at www.blwli.com.

Photo by Annette Jenkins Photography

The County Woman Magazine www.TheCountyWoman.com

Photo by Annette Jenkins Photography

May/June 2015

Women Of Monmouth County

Ann Pagano, MD

Lorraine Catalano

Certified Nuclear Medicine Technologist at Caring Heart & Brain Imaging

Brick Women’s Physicians

Dr. Ann Pagano is an Obstetrician and Gynecologist who has been practicing in Monmouth and Ocean Counties for 15 years. She is a founding partner of Brick Women’s Physicians that started in 2001, and works with Dr. Paul Vetter, Dr. Darlene Morgan, and Dr. Al Parchment. Offices are located in Brick and Manasquan. Dr. Pagano was born and raised in Philadelphia, PA. Her parents have been married for 50 years and she has five siblings. Her love for family and Philadelphia kept her there during her medical training. After graduating from LaSalle University, she went to Hahnemann University Medical School and then completed her Ob/ Gyn residency at Temple University Hospital. She then decided to move to Brick, NJ, to start her career. Dr. Pagano is married to her husband, Francis, for 12 years and they have an 11-year-old son, Aiden, and an 8-year-old daughter, Hannah. In her free time, she can be found at Aiden’s karate sessions and Hannah’s basketball practices. As a family, they love Disney World, New Jersey’s beaches, visiting her family in Philadelphia, and spending time with extended family in Wildwood during the summer. To schedule an appointment with Dr. Pagano, call 732-202-0700, or visit www.brickwomensphysicians.com.

Lorraine is a Nuclear Medicine Technologist. Lorraine is not only a technologist, but she and her partner, Dr. Anthony DeLuca, are the brains behind the startup and operation of CARING HEART CORONARY IMAGING. As a technologist performing Nuclear Cardiology scans for more than 15 years, Lorraine brings a technological expertise to the Caring Heart team that is unparalleled. Lorraine is dedicated to, and successful in, developing patient care resources in the Jersey Shore area. She has been active in the medical field long enough to guarantee absolute patient care without compromising imaging results. Lorraine has great compassion for her patient’s well being and comfort, often playing their favorite music, and offering them a cappuccino, latte or slice of homemade banana bread at Caring Heart’s gourmet coffee bar. Next to her patients her greatest passion is for her Cavalier King Charles Spaniel, Dillinger. As a matter of fact, she has had him certified as a therapy dog and he can often be seen at Caring Heart & Brain Imaging bringing smiles to patients and their families. CARING HEART & BRAIN IMAGING 2414 Highway 35, Manasquan, NJ 08736 732-292-1008 www.CHCI.biz

Photo by Annette Jenkins Photography

Katy Matarese, House Manager Ronald McDonald House

Katy Matarese is a licensed Social Worker who was born and raised in Matawan, NJ. Growing up, she always had a passion for helping others in need. She followed her passion and graduated Cum Laude from Kean University in 2006 with a Bachelor’s Degree in Social Work. Continuing her education, she was accepted into Fordham University’s Advanced Standing Program in NY and received her Master’s Degree in 2007. It was during her time at school Katy began working part-time as a Weekend Relief Manager at the Ronald McDonald House. She didn’t know it at the time, but her part-time job would eventually shape the future of her career. Katy’s career began at the Bayonne Visiting Nurse Association, where she provided services for home care and hospice patients. In 2010, she landed a full-time position at the Ronald McDonald House in New Brunswick as an Assistant House Manager. In 2012 she was promoted to her current position as House Manager of the Long Branch, NJ House. Katy has been happily married to her husband, Kevin, for 4 years. Together, they have a two year old daughter named Emmaline. In her free time, Katy enjoys taking walks, biking, and cooking with her family. Contact Katy at (732) 222-8755 or Katy@rmh-cnj.org or visit www.rmh-cnj.org.

Cindy Hunt , MSPT Manager, Kessler Rehabilitation Center During her eight years with Kessler Rehabilitation Center, Cindy Hunt, MSPT, has managed two of Kessler’s outpatient clinics in Brick, and recently was named manager of the Jackson center. She focuses on the treatment of individuals of all ages who have orthopedic or neurologic conditions, balance and fall-risk issues, dizziness, or deconditioning. “I love seeing the difference I can make in my patients’ lives and helping them reach their rehabilitation goals,” says Cindy. “It’s often said that laughter is the best medicine, but expert therapy is equally important. That’s why I make certain that we provide services in a caring, friendly and upbeat environment.” Cindy graduated from Richard Stockton College of New Jersey with a B.S in biology and M.S in physical therapy. A native of Neptune, she lives in Jackson with her husband and three children, and is involved in many community activities, including outreach programs to raise awareness about health and wellness, and fundraising events throughout the Ocean and Monmouth counties. To schedule an evaluation with Cindy, call 732-363-3900 or stop in Kessler Rehabilitation Center, 2290 West County Line Road at the Vineyards Professional Center in Jackson. For more information visit us at www.kessler-rehab.com.

Photo by Annette Jenkins Photography

The County Woman Magazine www.TheCountyWoman.com

Photo by Annette Jenkins Photography

May/June 2015

Book Corner

Angels Share The Power Of “I Love Me” How It Can Change Your Life And The World Your angels are with you every moment of your life.

xYou have the power of God’s love within you and the assistance of your angels to realize your dreams for an abundant, prosperous and joyful way of living.

xIt is through the love, power and inspiration given from the Archangels Michael, Jophiel, Chamuel, Gabriel, Raphael, Uriel, Zadkiel, and their team of angels that this profound message of the power and love that comes from saying “I Love Me” has been revealed.

Would you like to experience more love and joy in your life? Angels come to share The Power of “I love me.”

xThe angelic messages in this book reveal the powerful meaning of “I love me” and how it You can order Angels Share the Power of “I Love Me” How It Can Change Your Life and the World at these locations:

can bring victorious living to your life and to the world. Angels have God’s authority to assist you in all areas of your life. They bring God’s power to uplift your spirit and heal your body. They inspire wisdom and light the path before you. Angels are your protectors and guides.

xThe angelic messages in this book are intended for people from all walks of life. Open this

• Shop.angelsguidedhealing.com inspirational book and learn from the angels the power that comes from saying “I love me.” • From the publisher at Learn how truly loved and magnificent you are. www.balboapress.com • Your local retailer • • On Ebook at amazon

Aura D’Amato Phone: (732) 224-8441

www.angelsguidinghealing.com • Find us on Facebook!

Aura D’Amato

About the Author.. Aura D’Amato is an angel communicator who has had a loving dialog and connection with angels for many years. Aura holds a bachelor’s degree in sociology and is a certified reflexologist and energy healing practitioner. She is an author and public speaker sharing the love and power of God and angels through the angelic messages that she receives. Aura gives all glory to God and the angels for the love, healing and power that goes forth. For more information or to contact Aura, call (732) 224-8441, find her on Facebook, or visit her website at www.angelsguidedhealing.com.

Community

Spring Lake Historical Society Upcoming Events

pring Lake is primarily a unique year-round community that welcomes a large influx of summer vacationers. The town boasts a quaint downtown area and a variety of charming historic Victorian homes, lovely bed and breakfast inns and a comfortable two-mile non-commercial boardwalk that borders a beautiful sand beach. On Thursday, June 4, 2015, from 10:00 a.m. to 3:00 p.m., the Spring Lake Historical Society will hold is 36th annual House Tour. The tour will feature many wonderful homes. In addition, the historic Normandy Inn and Holy Trinity Church will also be featured. The Historical Society’s Museum will be open for collection, as well as the Changing Gallery with its Hidden Treasures, Green Gables, Croquet Club and a new exhibit saluting Spring Lake’s Police, Firefighters and First Aid. Tickets are $30.00 and are available for purchase one month prior to the tour at the following shops in downtorn Spring Lake: Kate and Company, 1100 Third Avenue, J. McLaughlin 1306 Third Avenue and Camel’s Eye, 1233 Third Avenue. Tickets will also be available during the day of the tour at Spring Lake Train Station, Warren Avenue, where coffee will be served from 10:00 to 11:30 a.m. We look forward to seeing you at the House Tour. It is suggested that you start your day early so you have time to see everything.

NEW YORK CITY THEATER TRIPS

Sponsored by The Spring Lake Historical Society Date: Wednesday, May 20, 2015 (Wednesday Matinee) Show: Dr. Zhivago @ The Broadway Theater, 1681 Broadway -Orchestra Seats Luncheon: ViceVersa, 325 W. 51 St. Price: $180.00 Call Liz Finnerty for Reservations: 732-449-2477 Bus leaves Spring Lake Railroad Station at 9:30 a.m.

The County Woman Magazine www.TheCountyWoman.com

The Spring Lake Historical Society Is Proud To Host And Invite You To Join Us For Summer Fun At Marucci Park Featuring

A Vintage Baseball Game On Saturday, July 11th

See Baseball Played by 1864 Rules No Gloves • No Masks • No Time Outs No DH • No Free Agents Festivities Start at 12:30 PM Followed By a Double Header at 1 PM Hot Dogs at 1864 Price Vintage Autos and Fire Engines will be on display.

May/June 2015

Business

Finance

ith the continued growth and expansion of our business along with improvements in technology, we added a new copying and printing division in 2003. A three times “Best of the Press Gold Award” recipient, our services division has developed quickly and offers a wide ranging list of commercial and personal printing services including business cards, real estate postcards, direct mail, letterheads, carbonless forms, booklets and building, invitations and announcements, and promotional items, large format banners and posters, blueprint and reprographic services and also offer design services and document shredding. “Custom work is our specialty. I find this part of the business to be a very rewarding. We get to be creative with the various requests we get. Things like scanning and touching up original artwork, creating life-size cut outs for special events, all kinds of interesting projects,” states Bob Matthews.

“Service truly is our Specialty” When my wife Debbie and I started Copiers Plus, Inc. in 1986, we really had no idea of how fast the technology would change. After all, it was during the time when fax machines were first starting to become popular. Fast forward to 2015 and we cannot live without the ability to scan-to-email. At Copiers Plus we represent the award winning lines of Ricoh/Lanier and Samsung products. We handle everything from small home office models all the way up to high-speed production units; black & white and full color multi-function products, printers, scanners, fax machines, and all the software necessary to improve business workflow. We offer our products and services to all of Southern New Jersey, with offices located in Egg Harbor Township, Ocean City, and Palmyra. As great as these products are, they are only as good as the organization that is providing the service. And that’s where Copiers Plus excels.

Copiers Plus’ expansion into specialized large format printing, sign fabrication, vehicle graphics and lettering, vinyl banners, signs, and window graphics has rapidly grown from their Ocean City location. We pride ourselves on versatility and innovative design coupled with cutting edge technology which enables us to meet the needs of a wide base of customers. From hand drawn invitations, custom photo collages to elaborate memorials… we do it all! Let our expert staff help you create your next project.

THREE CONVENIENT LOCATIONS! 935 West Ave. Ocean City, N.J. 08226 609-398-7676

3112 Fire Road, Unit C, Egg Harbor, Twp., NJ 08234 609-645-7587

21 East Broad Street Palmyra, N.J. 08065 1-800-834-3598

www.copiersplus.com • info@copiersplus.com

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

B potlight Business usinessSS potlight

67 55

~ Interview with Robert Matthews ~

Copiers Plus Robert P. Matthews Three Convenient Locations: 935 west ave, ocean City, N.J. 08226, 609-398-7676 3112 Fire Road, Unit C, egg harbor twp., NJ 08234, 609-645-7587 21 east broad street, Palmyra, N.J. 08065, 1-800-834-3598 www.copiersplus.com

RobeRt P. Matthews

Keeping it in the Family . . . Keeping it in the Family Copiers Plus Epitomizes a Family Business

Copiers Plus Epitomizes a Family Business When Robert and Debra Matthews started their business, Copiers Plus, they knew that cus-

tomer serviceand would be aMatthews priority. In fact, theirtheir company slogan:Copiers “ServicePlus, is ourthey Specialty,” When Robert Debra started business, knew also that customer would be astaff. priority. In fact, their company slogan:digital “Service became wordsservice to live by for their Serving as a traditional and specialty officeisequipourment Specialty,” to years live by staff. Serving as a equipment. traditional Bob and company,also theybecame representwords over 28 in for the their field selling and servicing specialty digital office equipment company, they represent over 28 years in the field adds, “We continue to grow as a result of our loyal customers who refer our company to others. selling and servicing equipment. Bob adds, “We continue to grow as a result of our loyal Our customers are the most important people in our business. We are dependent on them.” customers who refer our company to others. Our customers and our employees are the most people in our business. We are dependent on them.” Tellimportant us about your newest printing services location.

We opened a new printing business two years ago at 935 West Ave. in Ocean City. Our primary Tell us about your newest printing services location. objective was to offer both, retail services along with traditional commercial printing with a focus on large We opened a new printing business three years ago at 935 West Ave. in Ocean City with format color printing. the plan that our two sons, Bob Jr. and Shane would manage production and customer service. Our primary objective to offer retail services along with traditional Tell us about the three mainwas services youboth, provide. commercial printing with a focus format color printing. We have a walk-in retail businessonforlarge copying, blueprint copying, PC rental, fax service and scanning. We also offer commercial printing for letterheads, business cards, forms, invitations and graphic design. Tell usFinally, aboutwethe main services you provide. have a large format color printing business for banners, posters, indoor and outdoor signs, Weand have a walk-in retail business for copying, blueprint copying, fax and e-mail service vehicle lettering and wrapping. along with document scanning. We also offer commercial printing for letterheads, business cards, forms, invitations andimportant graphic design. Finally, we offer large format color printing for What is the single most aspect of your business banners, posters, indoor outdoor that sets it apart fromand others like it?signs, vehicle graphics and vinyl wraps. We provide a super fast turnaround from our courteous and knowledgeable staff. We take a “can do” Whatattitude is the single of your business thatfashion sets itservice. apart from others like it? to everymost singleimportant request. It aspect really comes down to good old We provide very fast turnaround for most projects by our courteous and knowledgeable staff.How We take a “can do” involved attitude to single request. It really comes down to good old did you become in every printing services? About 12 years ago we relocated into a larger facility on Fire Rd. in Egg Harbor Township. Being as fashion customer service. we are located on a major highway and surrounded by retail businesses, we decided to create a new How did youfocused becomeoninvolved printing services? division retail andincommercial printing. Already in the digital copier equipment business, it About 12 years ago we relocated a larger facility on Fireour Rd. in Egg Harbor seemed like a natural transition. I felt thatinto we would be able to leverage experience in the equipTownship. Beingtoas weour were located on a major highway and surrounded ment industry lower costs on the machines and the maintenance. Boy was I wayby off!commercial The printing and retail businesses, create adeadlines, new division focusedbreakdowns, on retail and business is nothing likewe thedecided equipmenttobusiness; communication typographical commercial printing. Already in the digital seemed likecan errors, problems getting paid, the list goes on. copier Frankly, equipment I almost gave business, up. However,itas my mother a natural that child. we would beit able tofinally leverage ourtheexpertise in the attest,diversification. I was an extremelyI felt stubborn I stuck to and we crossed ten year hump and equipment business to be successful in the commercial printing business. things began to fall into place.

WhatWhat are some of theof best of owning your own business? are some theaspects best aspects of owning your own business? I thrive on challenges and creative problem solving. I feel veryour fortunate because I love The timing of this question could not be any worse as we just received health insurance renewal. whatThe I do. I enjoy interaction with my staffof and overallthisculture hasyour been premium hasthe been increased by an average 80%.the However, is part ofthat owing owncreated busiin myness. work environment. Additionally, owningsolving. a business provides flexibility with I thrive on challenges and creative problem I am very fortunatesome because I love what I do.my I schedule. enjoy the interaction with my staff and the overall culture that has been created in my work environment. Additionally, owning my own business gives me a little flexibility on the hours I work which enables me to How does it feel to have your children follow in your footsteps? Was it a natural progression for enjoy my hobbies. them? It’sHow extremely thinkchildren many parents love to have their children follow does it rewarding. feel to haveIyour follow inwould your footsteps? in their footsteps especially if they a business. It presents excellent opportunities and Was it a natural progression forown them? It’s one the best feelings in my Ilife. fathers would loveboth to have follow in in challenges forofeveryone involved. feelI think verymost fortunate to have of their our children sons working their footsteps especially if they own a business. The most important thing is that your children are happy the business. and content. I feel very fortunate to have both of my sons working in the business. Tell us about the vehicle wrapping services you offer. WeTell have provided vehicle wrapping wrappingservices and lettering for over two years with over 50 projects us about the vehicle you offer. completed. They are mostly partial a few We have provided vehicle advertising wrapping and graphics lettering foralong almost with two years withwraps over 40and projects com-full They are mostly wraps along with partial wraps and a fewprocedure. full color changes. This is a colorpleted. changes. This is anadvertising extremely labor intensive and technical We provide an extremely labor intensive and technical procedure. We provide a complete from concept and complete solution from concept and design, through production andsolution installation. We also design, through production and installation. We also provide vinyl lettering and magnetic signs. provide vinyl lettering and magnetic signs. Are there any special projects you are working on? on? Are there any unique projects you are working Yes. Yes. We We arewere currently withproducing renovating an additional 6500 square Cove feet of recentlyinvolved involved with and installing two murals in Castaway at Playland on the Ocean City boardwalk. One was 10 feet tall by 150 feet long, and the other was production space at our Egg Harbor Township location. This expansion will enable20 usfeet to tall by 50 feet long. operate more efficiently as we continue to grow are services division. If youIf are of of any officefor equipment or commercial for your business, you in areneed in need a printer your business or home, callprinting Copiers Plus, 609-645-7578 call Copiers Plus, an appointment with one of their and schedule an 609-645-7578 appointment withand one schedule of their excellent service personnel. knowledgeable staff member. Visit their website at www.copiersplus.com and like Visit their website at www.copiersplus.com and like them on Facebook. them on Facebook.

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July/August 2014 May/June 2015

ravel TT ravel

70 56

Travel ravel

FAMILY VACATIONS STARRING THE “KIDS” “Create Lasting Memories”

55 63

Taking It With You: A Packing Primer

More fun, more memories! Part of raising a family is making memories that your children will cherish forever. A family vacation is part of those memories. Today’s opportunities to travel as a family arebooked as wideyour open as your imaginaYou’ve tion. From warm beaches to excitinglong adventures, destination offers a new awaitedevery vacation with your Travel experience. Professional andand you’re We have some suggested kid’s focused resorts destinations with ready to pack your special activities and amenities that the entire family will enjoy:

suitcase.

Now the big question is:

✿ CURTAIN BLUFF, ANTIGUA feels both country-club and cozy at the same What do you take

time. This charming resort with an Alain Ducasse-trained chef for wonderful dining has Ocean views with you? If you’re cruising in the Caribbean from every room, diving a game room and Ceebee Kids WithWatersports so many new including fees and • Add aand fewwaterskiing, more tee shirts and another pairthe of shorts restrictions the airlines have to a• turquoise Club. The beach is beautiful leading Caribbean Sea.poncho, and zippered plastic bags Lightweight sweater, rain imposed for baggage, you will have to consider leaving your entire closet for wet suits. at home from now on. Some airlines are charging for carry-on bags now, • Whatever you forget you can purchase on board or at the and other airlines let you board first if you have no carry-on bags. So was what created to be the ultimate get ports or resorts. are the essentials to pack? together getaway, where everything is Included and unlimited. TheAprotected white sand few years from now whatbeaches Here is a packing primer from Carole Kaiman, Travel Professional that (rated the best in the Caribbean by Travel & Leisure) exciting watersports and unlimited you will remember is the scuba total diving might help with the process. experience of your vacation, NOT (for certified divers). things you forgot pack.and surf are about children. Amazing waterparks withthe body slides, lazy to rivers ForBEACHES a week inresorts the Caribbean: *Remember, your Vagabond* simulator are a favorite of the kids. The Caribbean Adventure with Sesame Street and the XBOX play • 2 swimsuits Virtuoso Travel Professional can (put 1 in carry-onwith so you can goand right to the beach) lounges areyour so popular children families. 19 Specialty restaurants children’s dining areas provide great choices. assist you inand planning a vacation 2 cover-ups It•will be a great family vacation memory. with the most value and added (1 with sleeves for evenings dining on the beach & 1 Pareo) touches to make your experience a memorable one. • Yoga pants and 2 tank tops ships were built with families in mind. A deluxetofamily Ocean view Our dedication our clients before, during and after every vacation • 2 shorts and 2 tees stateroom with Verandah is perfect for a family of 4 or 5. There’s a 3 story AquaDunk body slide for kids makes a world of difference. • 3 sundresses with no fearFlip onflops, deck,flat or for the younger there’s the AquaLab with a looping waterslide. • SHOES: sandals, wedges,set, sneakers Enjoy Yourisland TravelorExperience. Disney destinations vary from Caribbean cruises with Disney’s own private cruising Europe • Pashmina • Sunglasses with special highlights for the kids to enjoy. Your Vagabond Travel Virtuoso Advisor • Packable sun hat and foldable beach bag For over 25 years, The go on to Mexican all-inclusive resorts, exciting travel to • Costume jewelry, (leave the realoptions jewels home) Carole Kaiman and an evening purse South Africa for families, Alaska tours (Perfect forTravel summer vacation) Vagabond Must Haves: and fabulous Tauck tours of Europe. • Insect Repellent, Sun Protection (with at least 30 SPF) *Check out • Facial and body moisturizer Start your unforgettable vacation www.virtuosolife.com by contacting Travel Advisor Carole Kaiman, at Vagabond • Make up Bag: waterproof mascara, eyeliner, for Digital Magazine 732-222-2792 or 732-842-2600. Travel, a Virtuoso Agency in Littleour Silver today. hair conditioner and shampoo and some amazing travel ideas.

✿ BEACHES, TURKS & CAICOS

✿ DISNEY CRUISE

Create memories that will last a lifetime.

Carole Kaiman, Travel Specialist Vagabond Travel Virtuoso Agency 542 Prospect Ave. Little Silver New Jersey 07739

*Check out www.virtuosolife.com for our Digital Magazineand some amazing travel ideas.

Over 25 Years

732-222-2792 Direct 732-842-2600 Office

website: www.vagabondtvl.com

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May/June 2014 2014 November/December May/June 2014 2015 May/June

Massage School

Looking For A Career Change?

Do You Want To Be Your Own Boss or Make Extra Income? NJ School of Massage offers you training with a personal touch. We care about you, your life and your future. We prepare you to become a confident, professional and licensed massage therapist. Alice Marin New Owner/Director

Why become a massage therapist?

Massage practitioners report they are motivated by a genuine desire to improve the health and well being of clients. Practitioners often see themselves less as business people and more as individuals with a calling or mission. Per the AMTA®, there are up to 350,000 trained therapists providing massage and bodywork in the United States. There are more than 250 known types of massage and bodywork. Many massage therapists say that they love the flexibility of being a therapist as well as feeling relaxed themselves. The massage training can also be a stepping stone to continuing a career in the medical field.

Where do massage therapists work?

Spas employ an estimated 338,600 people in the United States. Massage services are provided at 88 percent of spas. Many therapists have their own private clientele. Others may work at day spas, health clubs, salons, resorts/hotels, hospitals,

rehabilitation centers, cruise ships, or with sports teams or schools.

BENEFITS OF MASSAGE

In a study of migraine sufferers, massage therapy reduced the duration and intensity of pain, reduced stress and depression, and increased functional status and quality of life. Research has shown that massage therapy has a beneficial effect on the following: chronic back and neck pain, bone, joint and muscle pain, nerve impingement pain; balance, range of motion, flexibility; circulatory disorders; constipation; fibromyalgia; immune function; loss of sleep; and postpartum depression. Consumers in 2012 had a positive response to massage, with 75 percent reporting very favorable feelings about their most recent experience. Per the AMTA Consumer Surveys, 2003- 2014, approximately tweny nine percent of US adults received a massage at least once. Massage helps children as well: Improving

sleep for babies; reducing aggression and hyperactivity in adolescents with ADHD; increasing alertness in autistic children; improving lung function in asthmatic children; and reducing glucose levels in diabetic children. NJ School of Massage (which was established in 1995 and is under new management) strives to make sure that each

and every student is trained to prepare them for a successful massage career.

Not only will they be prepared for spa (Swedish) massage but also sports, medical, prenatal, geriatric, and cancer/hospice massage. We work with your individual needs of scheduling your home life, children and work. Whether you’re 20 or 55, you can find a niche where you will be helping clients while enjoying a satisfying career. Our teachers are very dedicated to their area of expertise. We have an affordable tuition and easy payment plan. We’re conveniently located on the corner of Route 37 & 166 in Toms River in the Corinne Jewelers Plaza.

We invite you to visit our website at

NJShoolofMassage.com for more information or to register online

or call the school at 732-505-0055 for more information.

917-5 North Main Street corner of Route 37 & 166

Toms River, NJ

732-505-0055

njschoolofmassge.com

The County Woman Magazine www.TheCountyWoman.com

Day classes are 3 days a week, 9 a.m. to 5 p.m. for 6 months. Evening classes are 2 days a week, 6 p.m. to 10 p.m. for 10 months.

Textbooks, a massage table and a school T-shirt are included in the tuition! May/June 2015

SCAN

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                    

                    

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                    

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                           

          

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Business Spotlight

~ MEET THE WOMAN BEHIND SCAN – PAT BOHSE ~

B 180 Route 35 • Eatontown (basement level of Monmouth Mall)

732-542-1326 www.scannj.com.

ack in 1975 when Pat Bohse was working in Jersey City, she was asked to evaluate the Meals-on-Wheels program. As a result of the evaluation, she was then asked to run the Senior Nutrition program, which included 12 senior nutrition sites and a large Meals-on-Wheels program. It was then that she knew she had found her calling. From 1977 to 1989 she was the Director of Senior Nutrition for Caring Community in Greenwich Village NYC. She adds, “I was fortunate enough to always work with a committed and loving staff, boards of directors and seniors.” In 2012, her company Bohse & Associates did an Extreme Makeover of SCAN (Senior Citizens Activities Network). “It was falling on hard times and as a result the staffing changed and the Board asked me to help because of my background with the aging world,” she adds. They were able to turn the organization around in six months and in 2013, the Board asked Pat to become the Executive Director.

CW: Tell us about your previous experience before becoming the Executive Director of SCAN.

Bohse: In 1989 I started a management-consulting firm called Bohse &  Pat Associates, Inc., where we worked with not-for-profits and government agencies. We

did strategic plans, board development and training, working especially with senior programs. I joined organizations such as NANASP’S Board of Directors, became the Association Manager for the 21 County Offices on Aging in NJ, and consult for LiveOn NY for over 20 years.

CW: What is the most rewarding part about your profession?

Bohse: It is highly rewarding as a consultant to see when an agency uses a strategic  Pat plan to get focused they become successful. We have done hundreds of plans in the last

26 years. When organizations are successful, their clients/customers are able to get the services they need. The most rewarding part about being at SCAN is working with our members; I learn something new every day. I love their stories, the history that they have lived through, but most of all their joy of life.

CW: What is the most challenging part?

Bohse: Most people (organizations) do not like change. Getting them to  Pat understand that having a plan, an educated board of directors and staff, and a clear

vision that will help them become successful can be a challenge. We always stay with our clients after we do a plan. At SCAN my greatest challenge is marketing them to the world. When new people come to SCAN they cannot believe that it has been here for 26 years. Also, fundraising to support the organization is quite challenging. We do not receive any government money to support our operations so we depend on sponsorships, membership dues, class fees, donations and special events.

CW: How do you spread the word about SCAN?

Bohse: We do a mailing to 3,000 people three times a year, send out weekly  Pat e-blasts and send out press releases regularly. We also have a Face Book page and a

website. Additionally, we have three TV shows seen monthly on Comcast, Cablevision, and FiOS in Monmouth and Ocean Counties, and we have our own SCAN YouTube channel. The viewing public does receive quality, trusted information from our TV shows. However, the best marketing tool is word of mouth.

CW: Why did the agency decide to change the acronym from “Senior” to “Social” Community Activities Network?

Bohse: No one wants to be called a senior citizen. Our members range in age  Pat between 50 and 89 and SCAN is a place for them and members of the public to come

and be social. We know that socialization helps all of us to stay healthy; mentally, emotionally and physically and each one of our classes is its own community.

Pat Bohse

Executive Director

SCAN is made up of many small communities; each of SCAN’s classes is its own community. It is the most cost effective group around. They provide 3- 13 week semesters and their classes range between $3.00 to $8.00 per class for members. It is clear to see that throughout the years Pat has become the voice for people who could not speak up for themselves, both professionally and personally. In the beginning, she wanted to help Save the World, but now it’s simply about helping one organization at a time to be the best they can be. A noble cause for sure!

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Ballroom Dancing

A Little Bit of Argentina in Freehold

n a cool January night, the melodic music of the bandoneon brought the sights and sounds of Argentina to Daniel’s Ballroom dance studio. The studio, located on the second floor of the Freehold First Aid Squad, 18 Spring Street, transported the audience to a traditional “Tangueria” nightclub in Argentina. Each year the students participate in the bi-annual Student Showcase to share with family and friends their love of dance. This year’s first showcase was a mixture of romance, friendship and intrigue, presented through traditional and modern Latin dances. From the seductive Argentine Tango, to the lively Milonga, to the exhilarating sounds of the Cuban Rueda Casino, you were swept away to a world where no one speaks. It is a world in which the story of life is told through embrace and movement to the music.

✺ ✺ It is no surprise that each showcase exhibits the quality of a theatrical show. Daniel Asin, owner and instructor, brings his experience as a former ballet dancer, choreographer, and stage director to each of his shows. Born in Santiago, Chile, Daniel began his dance career in 1969 with a number of local folkloric groups. In 1973 he was accepted into the Universidad de Chile, where he was selected as a member of the Chilean National Ballet Company. After his career with the ballet company, Daniel advanced as a choreographer with the Bafona Dance Troup. In 1994 he moved to the United States and was a member of the Latin American Dance Company in New York City. In 1997 Daniel began teaching ballroom dance with various studios throughout New Jersey, and opened Daniel’s Ballroom in 2006.

Dancing plays an integral role in many cultures, as expressed in celebrations, entertainment, and as a form of storytelling. Young and old have discovered the passion and fun of Latin and ballroom dancing. In addition to providing an effective workout for your body, dancing brings one a feeling of contentment and happiness. Dancing provides opportunities to meet people in a fun and safe environment, while giving a sense of community and family. Try a new activity that can bring joy and a sense of accomplishment. Come and join Daniel and his students in the next “mystery” showcase.

Daniel Asin and Susan Arena dancing American Tango

Daniel’s Ballroom 18 Spring Street

Freehold, NJ 07728

732-330-6084 www.danielsballroom.com

Cast of Tangueria

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Fine Jewelry

The Jewelry Link… An Exquisite Buying Experience Since Carol and Richard Link formed The Jewelry Link, a Division of Repairs By Us, in 1984, they have been servicing, repairing and selling jewelry to the residents of Monmouth and Ocean Counties ever since. In 2005, they brought their son, Craig, into The Jewelry Link family and most recently, his wife, Deborah.

very time a customer opens the door to our jewelry store, we hear the same message: “What a beautiful place!” We are very proud of the appearance in our store, but the beauty lies in our jewelry. A piece of jewelry is a cherished memento, a celebration that should reflect the spirit of the occasion. We offer a wide assortment of beautifully designed pieces from the classics to cutting edge style. Many of our creations are crafted in our own shop. The Jewelry Link offers a complete array of services on the premises including sizing, repairs, custom design, and diamond remounting.

Remounting and Engagement Rings

After being married for many years, it may be time for a change with your bridal set. Remounting a diamond ring is a great way to preserve a sentimental value of your stone. People remount diamond rings for a variety of reasons-from preserving the sentimental value of their ring to custom designs for an original look. Some of the common reasons for remounting a diamond ring include: an updated design, change in the color of the gold or merging two rings into one.

For an engagement ring, we have an exquisite collection of rings, with the quality you demand and value you deserve. Our diamond experts will take the time to help you in a relaxed atmosphere to ensure this critical decision is one you will look back on fondly for the rest of your life. Over the years, the setting may wear out. A worn setting may cause a diamond to loosen or fall out. Repairing the setting can save the original ring. In other cases, some people like to merge a family heirloom, such as a mother’s engagement ring, with another diamond ring to create an original piece of jewelry. Many people also want to update the look of their engagement ring and preserve their original diamond in a new ring design. Stop by and talk with one of our designer experts about remounting your diamond.

Jewelry Trends

As the summer quickly approaches, the key ingredient for trend-setting fashion is larger, bolder styles that are gem-intensive, and that match your own personal style. Women will be adorning themselves with larger, more impressive pieces. You can get the look by wearing a single, diamond-studded bangles or a one-of-a-kind right hand ring. And for the men… following the sports stars and celebrity acts, the trend for men today is to incorporate diamonds into rings and bracelets. At The Jewelry Link, you do not have to spend a lot of money to give a lovely Mother’s or Father’s Day gift that your loved one can treasure forever. We offer affordable options to create stunning gifts. For your mother, we have an incredible selection of monogrammed pieces. We do them in pendants, rings, earrings, and bracelets. They are designed and cut out by

hand for each individual customer. We can make them in yellow gold, white gold or sterling silver, in any size. We can add diamonds to all or part of the initials. For your Father, we have an extraordinary line of watches that could add some color to your dad’s arm this summer. Also, stainless steel and leather bracelets are available for the man in your life. In addition, we replace batteries and repair watches of every make. The Jewelry Link is known for its personal, prompt service and has a solid reputation for customer satisfaction. Come to The Jewelry Link at 502 New Friendship Rd. in Howell for any jewelry or gift occasion and experience a new era in service. Visit The Jewelry Link and experience the difference!

Up to

50% OFF

Everything in stock.

Some exclusions may apply. Not availabe on previous purchases or other discounts. Not to be combined with other offer. Expires 6/30/2015.

The Jewelry Link A division of Jewelry Repairs By Us

GOLD

Highest Prices Paid!

FRIENDSHIP MALL • 502 New Friendship Rd. • Howell, NJ 07731 Craig and Deborah Link, Owners

Tel: (732) 370-4840 • www.JewelryLinkNJ.com

Celebrating 30 Years Of Service To The Community!

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Full Time Jeweler Work Done On Premises

May/June 2015

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ommunity CCommunity

Kiwanis club of Bordentown, Caring Cooks at the Long Branch House. Singer Olivia lead the 2014 Walk with Ronald.

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May/June 2015

Community

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May/June 2015

Community

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Mother’s Day Lori Lenzi I am a 12-year-old girl who has the most amazing mom in the world, Lori Lenzi! I would love to honor my mom not just for being the great English teacher she is to 77 7th graders at Texas Avenue School in Atlantic City, but also for taking the role of a mom and dad in my life. My mom is a purpose-driven soul and strives to impact lives through example, inspiring words, and positive attitude! MY mom rocks!!!!!!! Sincerely,

Tribute

Sandi D’Amato

Mary Rizzi I would like to thank my mom for everything that she taught me that made me a better person. She was so upbeat, giving and loving, and she held our large family of eight siblings to the highest standards. When diagnosed with Leukemia, she maintained her dignity and her strong faith helped all of us heal and get through this difficult time. One of her many phrases were “this too shall pass” and “ put your faith in our Lord”. We love and miss her everyday! Your loving daughter,

Ree

Eliana Heard (The daughter of the most amazing mom in the world.)

Rachel Schoenstein

While Mother’s Day is a special time of year to shower affection on the matriarch of our family, every day we wake up grateful for our most amazing mother, wife and grandmother, Sandi D’Amato. She is our first phone call in the morning, our best friend and our biggest cheerleader. It is an honor and blessing to call her our mother and for her nine grandchildren to call her Mom-Mom. It is beyond measure as there are not enough adjectives in the world to express how fabulous she is and how much we love and appreciate her! Happy Mother’s Day, Mom! We love you the whole world, “The A Team”, Alexa, Ava

and Ashley

Thank you for being you! From a toddler in diapers to a business owner in workout gear, you have taught me everything I know and have always guided me in the right direction. Your kind soul and generous spirit has such a positive impact on others around you. I am so proud to call you my mom! Love, your daughter,

“A Mother is she who can take the place of all others but whose place no one else can take.”

Rachel

- Cardinal Mermillod

Business & Finance

Tips to Improve your Email Marketing 1. Collect emails at multiple places: Facebook, Website, etc: Use a Facebook promotion where you need to capture an email. 2. An effective line to get your emails opened is to use the words: URGENCY, TODAY ONLY, or 24-HOUR GIVEAWAY! 3. Be consistent. Don’t let the emails fall by the wayside and wait months between sending emails. Not heard from is forgotten. 4. Keep it short and sweet. Your subject line should be a maximum of 50 characters. 5. Personalize the email. 6. Make your customer feel special. Create a subject line such as “For our beloved customers only.”

7. Create a loyal following by keeping your followers informed. 8. Adding video to your emails increases click-through rates 3 times. 9. Be sure to have a clear objective for the email. 10. Send an email at the right time. 11. You only have a second or two; be sure your subject line is recognizable as your company. 12. Emails that include social-sharing rates have a click-through rate 158 percent higher than those that don’t. 13. When creating email campaigns, ensure they align with your overall business goals so you can best guide content and strategies.

Social Media For Your Business - Don’t have the time? Let Pearls of Wisdom take over, call Jackie at 732-610-1567! Jackie Berman, Pearls of Wisdom Media

Pearls of Wisdom Media LLC

Jackie Berman 732.610.1567 PearlsOfWisdomMedia@gmail.com www.twitter.com/jackieberman Social Media –Don’t have the time? Let Pearls of Wisdom take over.

732 610 1567

www.twitter.com/JackieBerman • www.facebook.com/PearlsofWisdomMedia

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May/June 2015

Mother’s Day Tribute

Happy Mother’s Day Carmen Clemente

Karen Shover

On Mother’s Day 2015, I want to honor my mom, Carmen Clemente, from Manhattan, NY. My mom is a strong-willed, hardworking woman that raised her children with a lot of hard work, though believing that she was going to be an extraordinaire mother and professional for her family. Carmen, being a single mother, had a job as a secretary in a local store to be able to raise her family, and she decided to acquire a college degree, as she always wanted. A few years later, she started working in Puerto Rico (PR), brought by the military, and she met my father who supported her in pursuing her dreams of becoming an executive in the Hotel Industry. Soon after, she enrolled in a local higher education institution called Universidad del Este (“Northeast University”) in Puerto Rico (commonwealth of the United States). The university was very similar to Hunter College of NYC, the school that she wanted to attend, so she was engaged with the school system and curriculum and enrolled as a Business Administration major. She was working during the day and at night she was going to school. The children were under the care of Dad and their grandmother. Soon, she graduated with honors and was hired to work in a prestigious hotel chain in the Touristic area of Isla Verde in the City of Carolina, PR. The excellence of her performance in the hotel industry brought her to become a Vice President of a five (5) star hotel in PR and hosted many celebrities with excellence. All her achievements never changed her loving and humble heart, as a strong woman and as a loving mother. She is my support and had been for many years and I want to honor her on Mother’s Day as the strongest mother from Manhattan in Puerto Rico. Thank you for taking care of us,

A mother’s love is simply the best, better than the rest. Thanks for showering me with your love all my life, mom. I am grateful every day for you! Love,

Patricia Morse

Lauren

Ruth A. Rosa For my Mom in heaven, Ruth A. Rosa (Nanny) to so many! Thank you, Mom, for showing me how to love all my children equally (in spite of what they say!), showing me how to be a strong woman (when sometimes weakness seems a better option), showing me there is more to life than material things, and beauty IS in the eye of the beholder! Thanks for giving me the Faith I need to lean on, especially since we had to let you go! Love,

Agnes Rosa

Catherine Roseberry

Mom, you are a warm, caring, and a truly altruistic woman. Everyone you meet is drawn to you and your generous, gentle ways. I just want to thank you for always being there for me and for the loving way you show me you love me every day. Happy Mothers Day! Love you, Mom.

Hugs from Tracy!

Yamir, Tania, lila (Lynette) and my Dad.

Anna Eckrote My mother, Anna Eckrote, is 102 years old, does her own cooking and cleaning and household chores. She also can beat us at pinochle, card games and other board games. This is a photo of her at her favorite place the Sunset Beach in Cape May last summer. Her 4 daughters believe she has designer genes! We are grateful to the designer. Love, your daughter,

Meghan

My mother is an amazing and a very inspiring woman because she lost her father at the age of three and was raised by a single mom who struggled all her life. She insisted that she would get an education that would secure her life and became a pharmacist and a mother of five children, who are physicians and pharmacists themselves. She instilled independence, kindness, hard work and family values in us. She always lived with a smile on her face even through hardships and even during wartime. She always made us feel like it’s going to be ok and she still does the some for us until this day. Love, your daughter,

Mariam Ghobriel-Sawiris

Frances and Lois Some people are fortunate enough to have mothers who love them. These two women not only provided a constant source of love, but they were a constant source of inspiration. Compassionate, loving, and kind - lessons that led us exactly where we are today. It is because of them, we are truly who we are. We honor you, today and always, Frances and Lois, for being true examples of love and kindness. Love,

Gerri Richards

Mom, you are the greatest teacher I ever had: you taught me to always be strong, loving, compassionate, and selfless. Whether you were nursing us back to health when we were sick or cooking our dinner every night, you always put your family (and others) before yourself and your sacrifices do not go unnoticed. Thank you for always laughing with me, supporting me, and encouraging me to follow my dreams. I am proud to have you as a mom. Happy Mother’s Day! XOXO Love you to the moon and back,

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Kevin and Beth Kane May/June 2015

Father’s Day Tribute

Happy Father’s Day

Herb Houston

Ralph Garrow

Paul R. D’Amato

This is my dad and me, Ralph and Tony Garrow. He is one of the most important people in my life. If it weren’t for him, I would not be where I am now in many aspects of life. I can still hear some of his life-lesson talks as if they were said yesterday and now I get to share them with my three awesome children! I hope my kids will love me as much as I love him! Love, your son, Tony

To the man who works each and every day to make all of our dreams come true; to the man who played sharky with us when we were little girls; to the man who now, as adults, never lets our wine glasses go empty… To the captain of our A-Team; to the Pop-Pop who is adored by his nine grandchildren; to the man who was our first true love: happy Father’s Day, dad!!!! Thank you for all you do for our family. Your girls love you beyond measure. Love,

Alexander J. Barrera

Alexa, Ava and Ashley

You are our favorite superhero and softest teddy bear! You are the strongest man in the world and yet you let us so easily defeat you with our little fists and karate kicks. Thank you for working so hard so that we can go to Disneyworld and play video games. You are raising us to be kind, gracious and respectful to all people and teaching us how to properly treat all women like you treat mommy- like a queen. You are the best daddy ever and we love you to infinity and beyond!

Robert Morse

Love,

Paul, Massimo and Rocco

Alfred Rosa Dad, there are no words to say how much I love you. For all you have done to love and teach and give all you had, I thank you. Your examples of patience, forgiveness, and honesty stay with me to this day. You were my guiding light through a lot of stormy days! You have showed me how to be so much to so many, as you were. If I could have you with me again even for a bit, my time would be filled telling you how much you are still loved and missed! Love,

Aggie

“A Father is someone you can look up to no matter how tall you grow.”

Dad, I’ve truly never met anyone with a bigger heart than you. You have been my protector, my guide, and my inspiration since childhood. Thank you so much for working as hard as you do to take care of everyone around you and for showing God’s love through example. Even though I may not always be around to go food shopping with you anymore or run to the door to greet you when you get home, I will always be your little girl. Happy Father’s Day! XOXO Love you with all my heart,

Meghan

Peter Kelly I am thankful for my dad because he is the most supportive, generous and loving father a girl could ask for! He constantly goes out of his way to make sure my older brother, younger sister and I have everything we need, and he is our biggest fan. All three of us know that no matter what, he will always love us - and we’ll always love him! Love, your daughter,

Bridget Kelly

Thank you for always being there for all of us. We all love you so much. You gave me the greatest gift of all: you believed in me!!!! I love you Dad. Love, your daughter,

Jill

Martin Rizzi I would like to thank my dad for being the most hardworking, sweetest man who worked seven days a week supporting his eight children. He had a zest for life and was a loving father. My best memories were when we were younger, piling into the car for Sunday drives, whether it was to the Jersey Shore, McDonald’s, carnivals, parks or our summer vacations, it was always an adventure!! I truly treasure those precious memories and miss him every day! Happy Father’s Day, Dad!! Your loving daughter,

Ree

Greg Lande When my husband, Greg, is with our twin 6-yearold boys, Max & Griffin, nothing else matters in the world. He has that rare ability to turn off everything around him and focus solely on them. He is their hero, role model and most of all, friend. If my boys turn out to be even half the man their Dad is, then we have done our job well as parents. Greg wears many hats but the one that suits him best is that of Dad. Happy Father’s Day to one of the Greats! Love,

Gena

To Walt and Al, Two men who, unfailingly, were not only models of hard work, discipline and responsibility, but who also gave much love, guidance, and support. You always put others before yourselves. We are forever grateful we were able to call you “Dad.” All our gratitude and love always, Kevin and Beth

- Anonymous

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May/June 2015

Community

Renaissance Faire May 23, 24, 30, 31 June 6, 7 10AM - 6PM

Now Open Thre e We e For 2 kends 015

Featuring

Highland Games May 23 & 24

Come Experience The Magic!

Human Chess Match Shakespeare Joust Tournament Sword Fighting Artisan Merchant Village Comedy Shows Glassblowing Music & Song Turkey Legs Liberty Lake 1195 Florence Columbus Road Bordentown, NJ 085505 Exit 52A om Interstate 295 1-888-864-8222

Discount Tickets at: NJRenFaire.com

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May/June 2015

Lupus Foundation

Community

Night Of Elegance Dinner & Fashion Show Gala

Lupus Foundation of America, New Jersey Chapter, Inc. (LFANJ)

Presents: Night of Elegance Dinner and Fashion Show Gala Saturday, June 6, 2015, 6:00 PM to 11:30 PM.

LFANJ Glamour & Glitz Dinner & Fashion Show Models 2014

The evening will feature beautiful models modeling gorgeous fashions from Rue Royale Couture, Red Bank, NJ and The Handsome Male Model Revue modeling SKR Apparel on the runway. Beautiful Spokesmodel, Julie JerseyItGirl Lehmann, Music by Bobby Dee *The Nupe* along with beautiful Singers, Michelle Musarra and Dr. Nancy Wilkinson. Then dance the night away to the music of The ShoreSyde Duo Band and don’t forget to smile for the Photographers, Larry Affelt, Jacqueline DeForne and John Hayes. Admission is $50.00 per person which includes Cocktail Hour Buffet, Dinner Buffet, Dessert, Cash Bar and there will be a 50/50 Raffle. Sorry no children 12 and under. Costa’s Restaurant, 120 Chestnut Street, Roselle Park, New Jersey 07204 For Flyer, please visit www.lupusnj. org NJ Events or call the Lupus Foundation Office #973-379-3226. Debra Kohn is the Event Coordinator for the Event. Debra was a Para-Medical Examiner Technician Nurse for 32 years, but is now an Advocate and Survivor of Lupus. She has been a Professional Runway and Print Model since age 16. She was chosen to compete in the Mrs. New Jersey America Pageant 2014 as Mrs. Monmouth County America and won the Pageantry Spirit Award. She was also chosen to compete in the Mrs. New Jersey United States Pageant 2011 and 2012 as Mrs. Howell Township and won the Community Service Award for all the community volunteer work she has done for her cause for Lupus – Research to Find a Cure. Debra has been awarded the LFANJ’s Volunteer Service Award in 2012, 2013 and 2014. She received this award in recognition of her ongoing volunteer work and fundraising efforts. Debra currently serves as a member of the LFANJ Board of Directors.

Models for this year are: • Debra Kohn – Mrs. Monmouth County America 2014 • Janice Celeste – Mrs. New Jersey United States 2015 • Andrea Graham – Mrs. Pennsylvania America 2013 • Jessice DeForne – Elite USA Queen of Queens 2014 • Elizabeth Graciano – Mrs. Essex County United States 2006 • Laura Salerno – Mrs. Monmouth County United States 2013 • Susan Korwin – Book Author/Life & Style Consultant • Cynthia Bisignano – Professional Barbizon Model

LFANJ Glamour & Glitz Dinner & Fashion Show Models 2014

Leonard Andriuzzi, Esq. CEO and President of the LFANJ and Debra Kohn, LFANJ Board of Directors Member.

*Lupus is a chronic, autoimmune disease, which causes inflammation of various parts of the body, especially the skin, joints, blood and kidneys. The immune system normally protects the body against viruses, bacteria and other foreign materials. In an autoimmune disease like Lupus, the immune system loses its ability to tell the difference between foreign substances and its own cells and tissues. Lupus is NOT infectious, rare or cancerous. Lupus affects people of all ages, including children, but it most often strikes people when they are between the age of 15 and 45. Nine out of ten people with Lupus are women. Although the cause of Lupus is unknown, scientists suspect that individuals are genetically predisposed to Lupus and know that environmental factors such as infections, antibiotics, ultraviolet light, extreme stress and certain drugs play a critical role in triggering Lupus. Women are five times more likely to die from Lupus than men. African Americans are three times more likely to die from Lupus than Caucasians. Lupus can be difficult to diagnose as the symptoms come and go and mimic any other illnesses. Some symptoms of Lupus can include transient joint and muscle pain, fatigue a rash caused by or made worse by sensitivity of the fingers to the cold. The risk of heart attack, stroke, kidney failure and osteoporosis is much higher in people with Lupus than in the general population. While medical science has not yet developed a cure for Lupus, new research brings unexpected findings and increased hope each year. (*Remove the Mask Brochure, LFANJ 2013)

Donations are always accepted to the Lupus Foundation of America, New Jersey Chapter, Inc. (LFANJ), located at 150 Morris Avenue, P.O. 1184, Springfield, NJ 07081

The Handsome Male Model Revue Models for this year are: • Jack Bisignano, • Jeff Bonner, • Evan Carpenter, • James Dasaro, • Jeremy Dasaro, • Dr. Robert Korwin, • Frank Musarra, • Peter Salerno

Please visit the Lupus Foundation of America, New Jersey Chapter, Inc.’s website, www.lupusnj.org for additional information on services, resources and information on the following upcoming Events:

• Saturday, May 16, 2015 – Fun Day For Lupus, Monmouth Park Racetrack,Oceanport, NJ • Thursday, August 20, 2015 – Lupus Awareness & Fireworks Night with the Somerset Patriots, TD Ball Park, Bridgewater, NJ • Sunday, October 11, 2015 – Walk to End Lupus, Nomahegan Park, Cranford, NJ

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May/June 2015

Community

Girls on the Run Monmouth & Ocean Counties



www.gotrcnj.org

“We inspire girls to be joyful, healthy and confident using a fun, experience-based curriculum which creatively integrates running.”

We believe that every girl CAN embrace who she is, CAN define who she wants to be, CAN rise to any challenge, CAN change the world. CAN



Designed to allow every girl to recognize her inner strength, the Girls on the Run curriculum inspires girls to define their lives on their own terms. Throughout the season, the girls make new friends, build their confidence and celebrate all that makes them unique.

GOTR of Central NJ

The Girls on the Run lessons encourage positive emotional, social, mental and physical development. Participants explore and discuss their own beliefs around experiences and challenges girls face at this age. They also develop important strategies and skills to help them navigate life experiences. At the end of each 10 week session, the girls participate in a Girls on the Run 5k event.



Completing the 5k gives the girls a tangible understanding of the confidence that comes through accomplishment as well as a framework for setting and achieving life goals. Crossing the finish line is a defining moment when the girls realize that even the seemingly impossible IS possible.

Join us at the Girls on the Run 5K Saturday, June 6th in Fair Haven www.runsignup.com/gotr5kmonmouth

The spring season is under way; the new fall season will begin the week of September 14th. If you would like to start a site in your area or enroll your daughter in an existing site please refer to the contact information below. Volunteer coaches are also needed at several locations in Monmouth & Ocean Counties

Please contact Donna York, Executive Director at donna.york@girlsontherun.org or 908-285-9202

The County Woman Magazine www.TheCountyWoman.com

Join us as a COACH

Volunteering for Girls on the Run of Central NJ will change your life as much as the girls you coach! You do not need to be a runner!!

May/June 2015

Community

Discover a world of education and enrichment!

FREEHOLD YMCA

CHILD CARE Our State Licensed Child Care Enrichment Center has been designed to provide your child 6 weeks to 5 years of age with the best possible learning opportunities in a warm, safe and loving environment. Flexible Full & Half days are available. 

Ages 6 weeks to 5 years



7:00am-6:30pm



Part time, full time and extended days available

SAFE AND SECURE DAY CARE IN OUR FREEHOLD BRANCH FOR INFANTS, TODDLERS, PRE-SCHOOL AND PRE-K Register by May 31 and receive 10% off your first month's tuition! 470 East Freehold Road

www.ymcanj.org

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732.462.0464

May/June 2015

Theatre heatre & &E Entertainment ntertainment

Illustration: Esther Wu

In the history of totally insane wedding daysâ&#x20AC;Ś this one takes the cake.

WITH

DAVID BURTKA MONTEGO GLOVER CHIP ZIEN JOSH GRISETTI ADAM HELLER MICHAEL X. MARTIN ANNE L. NATHAN NICK SPANGLER AND EDWARD HIBBERT

NOW ON BROADWAY

Brooks Atkinson Theatre, 256 W. 47th Street (Between Broadway & 8th Avenue) Ticketmaster.com 877-250-2929 ItShouldaBeenYou.com

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March/April 2015 May/June 2015

Theatre

&Entertainment ntertainment

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March/April 2015 May/June 2015

Community

UPCO MING

June

BlueClaws Game Friday, June 5, 2015 Lakewood, NJ

5 Fireworks Friday!

EVENTS

June

thAnnual

The RAT Rock Open Charity Golf Classic Monday, June 15, 2015 Lakewood, NJ

Time: 7:05 p.m. Location: FirstEnergy Park

Time: 8:00 a.m. Shotgun Start Location: Eagle Ridge Golf Club

Cost: $10 per ticket

Cost: $225 per player which includes:

- Breakfast

*Wheelchair accessible seats are limited, and are first come, first served, for a wheelchair and a companion.

and

- Buffet Lunch - Open Bar - Greens Fees - Cart - Driving Range - Locker Rooms - Golfersâ&#x20AC;&#x2122; Gift Bags

...official community partners /LADACIN

@LADACIN

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May/June 2015

Fine Art Photography

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May/June 2015

â&#x20AC;&#x153;Specializing in orthopaedic care and surgery for the injured athlete, our sports medicine team will get you back into action.â&#x20AC;?

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May/June 2015